Arrowhead Lodge, Llc

NPI 1124454236 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1124454236
Enumeration Date 09/20/2013
Last Updated 09/20/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KENNETH KENNETH
Position CEO/PRESIDENT
Phone (928) 227-2448
Fax (928) 441-1516
Practice Location
5113 W ARROWHEAD DR
PRESCOTT AZ, 86305-7304, US
Phone (928) 227-2448
Fax (928) 441-1516
Business Location
PO BOX 10835
PRESCOTT AZ, 86304-0835, US
Phone (928) 227-2448
Fax (928) 441-1516
Toxanomy
Taxonomy Code 324500000X
License State Arizona
License Number BH-3965
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According to our database, Arrowhead Lodge, Llc NPI is 1124454236, taxonomy code is 324500000X and license number is BH-3965, license state is located at Arizona. Arrowhead Lodge, Llc physically located at 5113 W Arrowhead Dr, Prescott AZ, 86305-7304. NPI Number 1033115704 has the healthcare provider type.

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1124454236 NPI number is provided on an as is basis without warranty of any kind. 1124454236 is maintained by the National Plan & Provider Enumeration System. The contents of Arrowhead Lodge, Llc are for informational purposes only.