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
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