Alcoholism Council of Cochise
Organization Active NPI Substance Abuse Rehabilitation Facility · Bisbee, AZ
NPI 1053483958 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1053483958
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- BH-1640 (AZ)
- Legal business name
- ALCOHOLISM COUNCIL OF COCHISE
- Practice address
- 936 Tovreaville Road
Bisbee, AZ 85603-4098 - Phone
- (520) 432-3764
- Fax
- (520) 432-5794
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Patrick McNary, LISAC
- Title
- Executive Director
- Phone
- (520) 432-3764
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | BH-1640 | AZ | Yes |
Addresses
Primary practice location
936 Tovreaville Road
Bisbee, AZ 85603-4098
Mailing address
PO Box 4098
Bisbee, AZ 85603-4098
Phone (520) 432-3764
Other names
- Verhelst Recovery House
Other providers in Bisbee, AZ
- Arizona Counseling & Treatment Services, L.L.C.
- Arizona Counseling & Treatment Services, L.L.C.
- Samantha Kalyani Bassett
- Bisbee Hospital Association
- Bisbee Hospital Association
All providers in Bisbee, AZ · Substance Abuse Rehabilitation Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.