National Provider Identifier Database

PRESCOTT HOUSE INC
Substance Abuse Disorder Rehabilitation Facility

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.


Contact Information

PRESCOTT HOUSE INC
214 N. AZ AVE
PRESCOTT, AZ86301
Phone: 928-776-8251
Fax: 928-771-2024
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for PRESCOTT HOUSE INC

NPI Number 1962703991
Legal business name
LBN
PRESCOTT HOUSE INC
Authorized official HENRY TURBERVILLE - (EXECUTIVE DIR.)
Entity Organization
Organization subpart No
Enumeration date 11/08/2010
Last updated 08/01/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: BH-264
  • AZ License #: BH-4262
  • AZ License #: OTC-6470

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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