| Seaglass Recovery | |
|
711 W Gurley St Prescott AZ 86305-3621 | |
| (877) 732-6837 | |
| Not Available |
| Full Name | Seaglass Recovery |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 711 W Gurley St, Prescott, Arizona |
| Authorized Official Name and Position | Eric Andrews (DIRECTOR OF QUALITY ASSURANCE) |
| Authorized Official Contact | 9283793097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaglass Recovery 701 S Swinton Ave Apt G Delray Beach FL 33444-2377 Ph: (877) 732-6837 | Seaglass Recovery 711 W Gurley St Prescott AZ 86305-3621 Ph: (877) 732-6837 |
| NPI Number | 1003372491 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 02/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003372491 | NPI | - | NPPES |
| OTC9045 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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