Organization
ROUNDSVILLE DRUG AND ALCOHOL TREATMENT OF ARIZONA
Active
Other names
A Sober Way To Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HARRISON COLCLASURE (OWNER)
(928) 420-3214
Entity
Organization
Contact information
Practice address
610 N BAGBY DR, PRESCOTT, AZ 86301-2588
(928) 848-2941
Mailing address
110 ROCKY DELLS CIR, PRESCOTT, AZ 86303-5681
(928) 420-3214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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