Organization
CHAPTER 5 COUNSELING CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JON ERIKSON THOMAS (EXECUTIVE DIRECTOR)
(719) 237-4641
Entity
Organization
Contact information
Practice address
973 W GURLEY ST, PRESCOTT, AZ 86305-2817
(928) 541-0692
Mailing address
726 W GURLEY ST, PRESCOTT, AZ 86305-3629
(928) 541-0692
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
AZ
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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