Organization
REGENCY RECOVERY AND WELLNESS CENTER
Active
Organization
REGENCY RECOVERY AND WELLNESS CENTER
Active
Other names
Regency Recovery and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS SPANIAK (PRESIDENT)
(949) 630-5253
Entity
Organization
Contact information
Practice address
1301 E GURLEY ST UNIT A, PRESCOTT, AZ 86301-3313
(928) 460-7001
(928) 277-0804
Mailing address
340 ROBINSON DR UNIT D, PRESCOTT, AZ 86303-3320
(928) 460-7001
(928) 277-0804
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC11153
STATE LICENSE NUMBER
AZ
Enumeration date
09/30/2021
Last updated
06/01/2023
Update your record
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