| Carleton Recovery Center, Llc | |
|
637 W Hillside Ave Prescott AZ 86301-1915 | |
| (928) 708-9615 | |
| (928) 708-9620 |
| Full Name | Carleton Recovery Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 637 W Hillside Ave, Prescott, Arizona |
| Authorized Official Name and Position | Fred Schaffner (CHEIF FINANCIAL OFFICER) |
| Authorized Official Contact | 9287784600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carleton Recovery Center, Llc 505 W. Whipple St. Prescott AZ 86301 Ph: (928) 778-4600 | Carleton Recovery Center, Llc 637 W Hillside Ave Prescott AZ 86301-1915 Ph: (928) 708-9615 |
| NPI Number | 1104106418 |
|---|---|
| Provider Enumeration Date | 08/18/2011 |
| Last Update Date | 05/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104106418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-3908 (Arizona) | Primary |
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