PRESCOTT ADDICTION RECOVERY CENTER LLC
NPI 1790129401
Community/Behavioral Health in Prescott, AZ

Active since April 24, 2013
1630 SHOUP ST, STE B, PRESCOTT, AZ 86305(928) 227-2448(928) 441-1516 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prescott Addiction Recovery Center Llc NPPES

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

PRESCOTT ADDICTION RECOVERY CENTER LLC (NPI 1790129401) is a healthcare organization registered as a community/behavioral health in Prescott, Arizona and active in the NPI registry since April 2013. The organization lists Kenneth Chance, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1790129401
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePRESCOTT ADDICTION RECOVERY CENTER LLC
Location Address1630 SHOUP ST, STE BPrescott, AZ 86305-1343
Mailing Address1630 Shoup St, Ste BPrescott, AZ 86305-1343 · (928) 227-2448 · Fax (928) 441-1516
Fax(928) 441-1516
Organization SubpartNo
Authorized OfficialKenneth ChanceCeo/president · (928) 227-2448
Enumeration DateApril 24, 2013
Last NPPES UpdateJuly 7, 2016
NPI 1790129401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1630 SHOUP ST, Prescott, AZ 86305

Other Providers at the Same Location NPPES 3

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

Community/Behavioral Health
1630 SHOUP ST, SUITE B
PRESCOTT, AZ 86305
Substance Abuse Rehabilitation Facility
1630 SHOUP ST
PRESCOTT, AZ 86305
Counselor (Addiction (Substance Use Disorder))
1630 SHOUP ST
PRESCOTT, AZ 86305

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 Prescott Addiction Recovery Center LLC's NPI number?

The NPI number for Prescott Addiction Recovery Center LLC is 1790129401. It was assigned to this organization in the NPPES registry on April 24, 2013.

Where is Prescott Addiction Recovery Center LLC located?

Prescott Addiction Recovery Center LLC is located at 1630 Shoup St Ste B, Prescott, AZ 86305. The listed phone number is (928) 227-2448.

What is Prescott Addiction Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Prescott Addiction Recovery Center LLC was last updated on July 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.