Organization
SUMMIT BEHAVIORAL HEALTH OF AZ, LLC
Active
Parent organization
SUMMIT BEHAVIORAL HEALTH OF AZ, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT BEHAVIORAL HEALTH OF AZ, LLC
Authorized official
BENJAMIN T ISENBERG (CEO)
(928) 710-7021
Entity
Organization
Contact information
Practice address
1989 WILLOW LAKE RD UNIT 100-105, PRESCOTT, AZ 86301-4885
(928) 756-0694
(928) 708-9620
Mailing address
8183 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-8481
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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