Organization
LIFE TRANSFORMATION RECOVERY
Active
Parent organization
LIFE TRANSFORMATION RECOVERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE TRANSFORMATION RECOVERY
Authorized official
DAVID SANCHEZ RN (EXECUTIVE DIRECTOR)
(928) 515-0044
Entity
Organization
Contact information
Practice address
6217 N REATA DR, PRESCOTT VALLEY, AZ 86314-3234
(928) 515-0044
(928) 433-4977
Mailing address
8521 E FLORENTINE RD STE B, PRESCOTT VALLEY, AZ 86314-8954
(928) 515-0044
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
BH4673
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083523
—
AZ
Enumeration date
05/24/2016
Last updated
10/27/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us