Round Table Recovery, Llc

LBN: Round Table Recovery, Llc
Round Table Recovery, Llc is an health care organization with primary practice located at 711 S Granite St Suite B, Prescott AZ 86303-4241. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Round Table Recovery, Llc can be contacted via phone (928) 533-2887, or through Nishikawa, Ira N via phone (928) 533-2887.

Contact Information

Primary practice address
711 S Granite St Suite B Prescott AZ 86303-4241
Phone: (928) 533-2887
Fax: (928) 776-4781
Website:
Map and Directions
Authorized official contact:
Name: Nishikawa, Ira N
Phone: (928) 533-2887

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1316225444
LBN Legal business name Round Table Recovery, Llc
DBA Doing business as
Authorized official Nishikawa, Ira N
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2011
Last updated Jul 22nd, 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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