Organization
BEYOND THE BASICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY JOHN DUPREZ M.ED (CEO)
(928) 814-2220
Entity
Organization
Contact information
Practice address
1600 W UNIVERSITY AVE STE 205, FLAGSTAFF, AZ 86001-3154
(928) 814-2220
Mailing address
1600 W UNIVERSITY AVE STE 205, FLAGSTAFF, AZ 86001-3154
(928) 814-2220
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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