Prescott Medical Executive Detox

LBN: Prescott Medical Executive Detox
Prescott Medical Executive Detox is an health care organization with primary practice located at 134 S Granite St , Prescott AZ 86303-4710. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Prescott Medical Executive Detox can be contacted via phone (928) 227-2300, or through Gallus, Patrick via phone (928) 899-0128.

Contact Information

Primary practice address
134 S Granite St Prescott AZ 86303-4710
Phone: (928) 227-2300
Fax: (928) 445-1416
Website:
Map and Directions
Authorized official contact:
Name: Gallus, Patrick Doctor of Osteopathy (DO)
Phone: (928) 899-0128

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 3273 Arizona

Profile Details

NPI number 1982996989
LBN Legal business name Prescott Medical Executive Detox
DBA Doing business as
Authorized official Gallus, Patrick Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2011
Last updated May 9th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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