Prescott Addiction Recovery Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

OTC7711 Issued in AZ

Legal business name

PRESCOTT ADDICTION RECOVERY CENTER LLC

Practice address

1630 Shoup St
Suite B
Prescott, AZ 86305-1343

Phone

(928) 227-2448

NPI assigned

Aug 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth Chance, D. DIV.

Title

Vice President

Phone

(928) 227-2448

Specialties & licenses 1

Addresses

Other names 1

• PARC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1013460385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 SHOUP ST",
            "address_2": "SUITE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051343",
            "telephone_number": "928-227-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 SHOUP ST",
            "address_2": "SUITE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051343",
            "telephone_number": "928-227-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT ADDICTION RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "928-227-2448",
        "authorized_official_credential": "D. DIV."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC7711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer C Powers, LCSW
• Peter L Powers, MD
• Practical Development
• Sandra Pratt
• Precision Spinal Care PLLC
• Prescott Addiction Recovery Center LLC
• Prescott Anesthesia PLLC
• Prescott Area Recovery Centers
• Prescott Cardiology, PC
• Prescott Community Counseling

• All providers in Prescott, AZ
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.