Organization
PRONGHORN PSYCHIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH DANIEL LETENDRE (CEO)
(928) 583-7799
Entity
Organization
Contact information
Practice address
5940 E. COPPER HILL DR., STE. B, PRESCOTT VALLEY, AZ 86314
(928) 583-7799
(928) 583-7891
Mailing address
5940 E COPPER HILL DR STE B, PRESCOTT VALLEY, AZ 86314-2860
(928) 583-7799
(928) 583-7891
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
IFBH6794
AZ
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
09/29/2014
Last updated
12/15/2025
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