CCR OTC LLC
NPI 1700281219
Clinic/Center - Rehabilitation, Substance Use Disorder in Prescott, AZ

Q: What is Ccr Otc LLC's NPI number?

The NPI number for Ccr Otc LLC is 1700281219. It was assigned to this organization in the NPPES registry on October 27, 2014.

Q: What is Ccr Otc LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Q: When was this NPI record last updated?

The NPPES record for Ccr Otc LLC was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2014

819 W GURLEY ST UNIT C, PRESCOTT, AZ 86305(928) 671-0161(928) 708-9620 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ccr Otc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CCR OTC LLC (NPI 1700281219) is a healthcare organization registered as a rehabilitation, substance use disorder in Prescott, Arizona and active in the NPI registry since October 2014. The organization lists Erin Bachman, Cfo, as its authorized official.

NPPES Registry Identity

NPI1700281219

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameCCR OTC LLC

Location Address819 W GURLEY ST UNIT CPrescott, AZ 86305-3626

Mailing Address819 W Gurley St Unit CPrescott, AZ 86305-3626 · (928) 671-0161 · Fax (928) 708-9620

Phone(928) 671-0161

Fax(928) 708-9620

Organization SubpartNo

Authorized OfficialErin BachmanCfo · (928) 671-0161

Enumeration DateOctober 27, 2014

✔ NPI 1700281219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

License✔ Licensed in AZ · 10486

819 W GURLEY ST UNIT C, Prescott, AZ 86305

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

R. SMYLY ADDICTION CLINICAL SERVICES LLC

Counselor (Addiction (Substance Use Disorder))

819 W GURLEY ST UNIT C
PRESCOTT, AZ 86305

Yavapai County (928) 671-1443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ccr Otc LLC's NPI number?

The NPI number for Ccr Otc LLC is 1700281219. It was assigned to this organization in the NPPES registry on October 27, 2014.

Where is Ccr Otc LLC located?

Ccr Otc LLC is located at 819 W Gurley St Unit C, Prescott, AZ 86305. The listed phone number is (928) 671-0161.

What is Ccr Otc LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Ccr Otc LLC was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.