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Life Transformation Recovery

Substance Abuse Rehabilitation Facility in Prescott Valley, AZ. Organization (NPI-2).

NPI number1982156691
StatusActive
Last updated in NPPESOct 28, 2016

Details

NPI
1982156691
Entity type
Organization (NPI-2)
Legal business name
Life Transformation Recovery
Organization subpart
Yes
Enumeration date
Oct 28, 2016
Last updated
Oct 28, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes

Practice location

8551 E Long Mesa Dr
Prescott Valley, AZ 86314-9350

Phone 928-515-0044

Mailing address

8521 E Florentine Rd Ste B
Prescott Valley, AZ 86314-8954

Phone 928-515-0044

Authorized official

David Sanchez
Executive Director
9285150044

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