Carleton Recovery Center, Llc

NPI 1104106418 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1104106418
Enumeration Date 08/18/2011
Last Updated 05/24/2016
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name FRED FRED
Position CHEIF FINANCIAL OFFICER
Phone (928) 708-9615
Fax (928) 708-9620
Practice Location
637 W HILLSIDE AVE
PRESCOTT AZ, 86301-1915, US
Phone (928) 708-9615
Fax (928) 708-9620
Business Location
505 W. WHIPPLE ST.
PRESCOTT AZ, 86301, US
Phone (928) 778-4600
Fax (928) 708-9620
Toxanomy
Taxonomy Code 251S00000X
License State Arizona
License Number BH-3908
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According to our database, Carleton Recovery Center, Llc NPI is 1104106418, taxonomy code is 251S00000X and license number is BH-3908, license state is located at Arizona. Carleton Recovery Center, Llc physically located at 637 W Hillside Ave, Prescott AZ, 86301-1915. NPI Number 1033115704 has the healthcare provider type.

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1104106418 NPI number is provided on an as is basis without warranty of any kind. 1104106418 is maintained by the National Plan & Provider Enumeration System. The contents of Carleton Recovery Center, Llc are for informational purposes only.