Organization
COMPASS RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE MICHAEL (CEO)
(928) 493-4373
Entity
Organization
Contact information
Practice address
711 S. GRANITE ST, PRESCOTT, AZ 86303
(928) 493-4373
(928) 515-2416
Mailing address
711 S. GRANITE ST, PRESCOTT, AZ 86303
(928) 493-4373
(928) 515-2416
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
OTC6815
AZ
Other
Enumeration date
01/30/2015
Last updated
03/14/2016
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