Life Transformation Recovery, NPI 1952758500
Substance Abuse Rehabilitation Facility in Prescott Valley, AZ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1952758500 |
| NPI Entity Type | Organization |
| Provider Name | Life Transformation Recovery |
| Subpart of Organization | Life Transformation Recovery |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 6217 N Reata Dr, Prescott Valley, AZ, US |
| Provider Mailing Address | 8521 E Florentine Rd Ste B, Prescott Valley, AZ, US, 863148954 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | RN David Sanchez |
| Official Position | EXECUTIVE DIRECTOR |
| Phone | 928-515-0044 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Substance Abuse Rehabilitation Facility |
| Classification | |
| Group | |
| License No. | BH4673 |
| License State | AZ |
| Description | 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. |
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PA-C Abigail Jane Higgins Individual |
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RN Abbigael Naomi Simpson Individual |
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MRS. LCSW Colette Reon Hardesty-tesar X Individual |
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MD Xiao Kristin Liang Individual |
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RD Haley Dawn Smith Individual |
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MD Nicole Marie Casey Individual |
3003 N 3rd St |
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Julie Ann Roberts Individual |
335 N Alma School Rd |
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MOT OTR/L, BCP, CIMI Victoria Wicus Individual |
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LCSW Taylor Redding Individual |
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Sierra Vista Regional Health Center Medical Group Llc Organization |
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PT Catherine Broadbent Individual |
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