OrganizationActive
Paramount Recovery Services, LLC
NPI 1578077632 · Substance Abuse Rehabilitation Facility · Prescott, AZ
Provider details
- NPI number
- 1578077632
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dominique Clark, Billing(928) 460-0593
- License
- BL04112 (AZ)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
602 Bonita Way
Prescott, AZ 86301-1002
Phone: (928) 583-3409
Street-level locationGet directions
Mailing address
Po Box 4353
Prescott, AZ 86302-4353
Registry dates
- Enumerated
- 2017-11-28
- Last updated
- 2017-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.