Organization
REFLECTIONS RECOVERY DETOX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN M DISIMONE (ACCOUNT MANAGER)
(973) 277-5359
Entity
Organization
Contact information
Practice address
8196 E VALLEY RD, PRESCOTT VALLEY, AZ 86314-9465
(973) 277-5359
Mailing address
8196 E VALLEY RD, PRESCOTT VALLEY, AZ 86314-9465
(973) 277-5359
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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