Organization
HOLDFAST RECOVERY
Active
Other names
Holdfast Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDAN JAMES MCDONOUGH (CEO)
(928) 589-4617
Entity
Organization
Contact information
Practice address
1579 W GURLEY ST, PRESCOTT, AZ 86305-2829
(928) 925-7856
Mailing address
1579 W GURLEY ST, PRESCOTT, AZ 86305-2829
(800) 351-6858
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
10/10/2022
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