Organization
NORTHERN ARIZONA CENTER FOR ADDICTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MARINELLI (ACCOUNT MANAGER)
(928) 642-3030
Entity
Organization
Contact information
Practice address
195 PLAZA DR, PRESCOTT, AZ 86303-5549
(928) 499-5687
(928) 778-1089
Mailing address
3195 STILLWATER DR STE A, PRESCOTT, AZ 86305-7171
(928) 642-3030
(928) 778-1089
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
OTC 7348
AZ
Other
Enumeration date
10/22/2015
Last updated
03/14/2022
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