PRESCOTT MEDICAL EXECUTIVE DETOX is a substance abuse rehabilitation facility in Prescott, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PRESCOTT MEDICAL EXECUTIVE DETOX NPI is 1982996989. The provider is registered as an organization entity type.
The provider's business location address is:
134 S GRANITE ST
PRESCOTT, AZ
ZIP 86303-710
Phone: (928) 227-2300
Fax: (928) 445-1416
The provider's authorized official is Patrick Gallus .
The authorized official title is Chief Administrator and has the following contact phone number (928) 899-0128.
The enumeration date for this NPI number is 5/9/2011 and was last updated on 5/9/2011.