Organization
RECOVERY IN THE PINES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT BLACK (OWNER)
(928) 308-4311
Entity
Organization
Contact information
Practice address
919 12TH PLACE #13, PRESCOTT, AZ 86305
(928) 227-2967
(928) 227-2968
Mailing address
919 12TH PLACE #13, PRESCOTT, AZ 86305
(928) 227-2967
(928) 227-2968
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSLG6504
AZ
Other
Enumeration date
07/08/2013
Last updated
06/23/2015
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