Organization
BLUEPRINTS THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ROSS (CEO)
(917) 903-7445
Entity
Organization
Contact information
Practice address
1113 E GURLEY ST, PRESCOTT, AZ 86301-3309
(928) 583-4878
(928) 708-9620
Mailing address
PO BOX 10878, PRESCOTT, AZ 86304-0878
(425) 295-1010
(928) 708-9620
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
OTC6880
AZ
Other
Enumeration date
11/05/2014
Last updated
01/13/2023
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