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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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