Organization
SUMMIT BEHAVIORAL HEALTH OF ARIZONA
Active
Parent organization
SUMMIT BEHAVIORAL HEALTH OF ARIZONA
Other names
Summit Behavioral Health of Arizona
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT BEHAVIORAL HEALTH OF ARIZONA
Authorized official
BENJAMIN T ISENBERG (CEO)
(928) 710-7021
Entity
Organization
Contact information
Practice address
8183 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-8481
(928) 756-0694
Mailing address
8183 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-8481
(928) 756-0694
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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