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Contact Information

BRIGHTER HEIGHTS ARIZONA, LLC DBA PRESCOTT HOUSE
4001 NORTH CATHERINE DRIVE
PRESCOTT VALLEY, AZ86314
 Phone: 928-775-7118
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Based Residential Treatment Facility, Mental Illness

320800000X
Indicates primary specialty

NPI Profile & details for BRIGHTER HEIGHTS ARIZONA, LLC DBA PRESCOTT HOUSE

NPI # 1780777540
LBN Legal business name BRIGHTER HEIGHTS ARIZONA, LLC DBA PRESCOTT HOUSE
Authorized official BROOKE WILSON - (SENIOR CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 07/06/2022 - About 4 years ago
Identifiers
AZ License # BH-3650
AZ Medicaid 560284
AZ Other 560284 AHCCCS ID
AZ Other BH-3650 LIC #
AZ Other BH4980 LIC #
AZ Other BH3650 LIC#
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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