Organization Name: | CARLETON RECOVERY CENTERS |
NPI Number: | 1861817447 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRED SCHAFFNER (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 1118 Willow Creek Rd Prescott |
State: | AZ US |
Postal Code: | 86301 |
Phone Number: | 9287784600 |
Fax Number: | 9287782221 |
NPI Enumeration Date: | 02/19/2014 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | BH4422 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |