Organization
SEAGLASS RECOVERY
Active
Organization
SEAGLASS RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ANDREWS (DIRECTOR OF QUALITY ASSURANCE)
(928) 379-3097
Entity
Organization
Contact information
Practice address
707 W GURLEY ST, PRESCOTT, AZ 86305-3621
(877) 732-6837
Mailing address
701 S SWINTON AVE APT G, DELRAY BEACH, FL 33444-2377
(877) 732-6837
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5497
ARIZONA DEPARTMENT OF HEALTH SERVICES LICENSE NUMBER
AZ
Enumeration date
02/11/2019
Last updated
02/11/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up