Arrowhead Lodge

LBN: Arrowhead Lodge
Arrowhead Lodge is an health care organization with primary practice located at 5113 W Arrowhead Dr , Prescott AZ 86305-7304. 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. Arrowhead Lodge can be contacted via phone (626) 797-9977, or through Gray, Kenneth Anthony via phone (626) 797-9977.

Contact Information

Primary practice address
5113 W Arrowhead Dr Prescott AZ 86305-7304
Phone: (626) 797-9977
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gray, Kenneth Anthony Licensed Clinical Social Worker (LCSW)
Phone: (626) 797-9977

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X BH-3965 Arizona

Profile Details

NPI number 1043574577
LBN Legal business name Arrowhead Lodge
DBA Doing business as
Authorized official Gray, Kenneth Anthony Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 29th, 2012
Last updated Jun 29th, 2012 - about 14 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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