Organization
ROYAL AZ LLC
Active
Other names
Royal Life Centers
Organization subpart
No
Provider details
NPI number
Authorized official
LEANN LOPEZ B.S. (UTILIZATION REVIEW)
(602) 349-7285
Entity
Organization
Contact information
Practice address
831 GAIL GARDNER WAY, PRESCOTT, AZ 86305-1606
(602) 350-1166
(602) 899-8012
Mailing address
1590 S CONGRESS AVE, PALM SPRINGS, FL 33406-5957
(561) 562-6271
(602) 899-8012
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/22/2024
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