Organization
THE HIGHWAY: A SELF-HARM AND SUICIDE PREVENTION SERVICE
Active
Organization
THE HIGHWAY: A SELF-HARM AND SUICIDE PREVENTION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA SMITH (OWNER)
(928) 379-7016
Entity
Organization
Contact information
Practice address
7572 E BUENA VISTA DR, PRESCOTT VALLEY, AZ 86314-5563
(928) 379-7016
(928) 255-4817
Mailing address
7572 E BUENA VISTA DR, PRESCOTT VALLEY, AZ 86314-5563
(928) 379-7016
(928) 255-4817
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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