Organization
GRANITE MOUNTAIN BEHAVIORAL HEALTH CARE OF AZ, LLC
Active
Organization
GRANITE MOUNTAIN BEHAVIORAL HEALTH CARE OF AZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK HERB (ACCOUNTANT)
(602) 565-2055
Entity
Organization
Contact information
Practice address
8183 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-8481
(602) 565-2055
(602) 565-2055
Mailing address
2651 N INDUSTRIAL WAY STE B, PRESCOTT VALLEY, AZ 86314-3545
(602) 565-2055
(866) 758-1208
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
AZ
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up