Organization
PRESCOTT HOUSE TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN ZEV FRIEDMAN (MANAGER)
(917) 605-7075
Entity
Organization
Contact information
Practice address
214 N ARIZONA AVE, PRESCOTT, AZ 86301-3104
(866) 424-2470
Mailing address
214 N ARIZONA AVE, PRESCOTT, AZ 86301-3104
(866) 424-2470
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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