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Organization

OASIS ADDICTION COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW LUCHINI (ACCOUNT MANAGER)
(928) 533-4220
Entity
Organization

Contact information

Practice address
711 S GRANITE ST, SUITE A, PRESCOTT, AZ 86303-4241
(928) 533-4220
Mailing address
711 S GRANITE ST, SUITE A, PRESCOTT, AZ 86303-4241

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
BH-3905
AZ

Other

Enumeration date
10/24/2013
Last updated
10/24/2013
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