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NPI 1790916583 · Substance Abuse Rehabilitation Facility · Parker, AZ
Provider details
- NPI number
- 1790916583
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Thomas Brown, Drug/Alcohol Counselor(928) 669-5243
- License
- CP00002772 (WA)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
12033 Agency Rd # 730
Parker, AZ 85344-7718
Phone: (928) 669-5243
Approximate (ZIP-level) locationGet directions
Mailing address
3560 Chemehuevi Blvd
Lake Havasu City, AZ 86406-6326
Registry dates
- Enumerated
- 2009-07-28
- Last updated
- 2009-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.