Organization
OASIS ADDICTION COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LUCHINI (ACCOUNT MANAGER)
(928) 533-4220
Entity
Organization
Contact information
Practice address
445 MILLER VALLEY RD, PRESCOTT, AZ 86301-2925
(928) 778-5375
Mailing address
445 MILLER VALLEY RD, PRESCOTT, AZ 86301-2925
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-4109
AZ
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
About Stedi
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