R. Smyly Addiction Clinical Services Llc

NPI 1134543481 - Counselor - 101YM0800X

NPI Details
NPI 1134543481
Enumeration Date 02/06/2014
Last Updated 02/06/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MATT MATT
Position ACCOUNT MANAGER
Phone (928) 671-1443
Fax
Practice Location
819 W GURLEY ST UNIT C
PRESCOTT AZ, 86305-3626, US
Phone (928) 671-1443
Fax
Business Location
819 W GURLEY ST UNIT C
PRESCOTT AZ, 86305-3626, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, R. Smyly Addiction Clinical Services Llc NPI is 1134543481, taxonomy code is 101YM0800X R. Smyly Addiction Clinical Services Llc physically located at 819 W Gurley St Unit C, Prescott AZ, 86305-3626. NPI Number 1033115704 has the healthcare provider type.

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1134543481 NPI number is provided on an as is basis without warranty of any kind. 1134543481 is maintained by the National Plan & Provider Enumeration System. The contents of R. Smyly Addiction Clinical Services Llc are for informational purposes only.