| The Highway: A Self-harm And Suicide Prevention Service | |
|
7572 E Buena Vista Dr Prescott Valley AZ 86314-5563 | |
| (928) 379-7016 | |
| (928) 255-4817 |
| Full Name | The Highway: A Self-harm And Suicide Prevention Service |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7572 E Buena Vista Dr, Prescott Valley, Arizona |
| Authorized Official Name and Position | Cassandra Smith (OWNER) |
| Authorized Official Contact | 9283797016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Highway: A Self-harm And Suicide Prevention Service 7572 E Buena Vista Dr Prescott Valley AZ 86314-5563 Ph: (928) 379-7016 | The Highway: A Self-harm And Suicide Prevention Service 7572 E Buena Vista Dr Prescott Valley AZ 86314-5563 Ph: (928) 379-7016 |
| NPI Number | 1609305564 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609305564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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Sequelcare Of Arizona, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8603 E Eastridge Rd, Prescott Valley, AZ 86314 Phone: 928-777-3280 | |
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