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
8551 E LONG MESA DR, PRESCOTT VALLEY, AZ 86314-9350
(928) 515-0044
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
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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