Organization
RECOVERY IN THE PINES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT BLACK (OWNER)
(928) 308-4311
Entity
Organization
Contact information
Practice address
919 12TH PL STE 13, PRESCOTT, AZ 86305-1433
(928) 830-3124
(928) 227-2968
Mailing address
919 12TH PL STE 13, PRESCOTT, AZ 86305-1433
(928) 830-3124
(928) 227-2968
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OTC6504
AZ
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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