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Organization

Prescott Detox Center, LLC

NPI Record: ActiveRehabilitation, Substance Use Disorder Unit
NPI1417391293
Prescott, Arizona

Provider's NPPES record last updated: April 23, 2013

Overview

Entity Type
Organization
NPI
1417391293
Primary Specialty
Rehabilitation, Substance Use Disorder Unit
Practice Location
Prescott, Arizona
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:01 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Rehabilitation, Substance Use Disorder Unit

    Hospital Units

    Primary

    A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

    Taxonomy code 276400000X

Provider-Reported License Information

Rehabilitation, Substance Use Disorder Unit (Arizona)
BH4207
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

831 Gail Gardner Way

Prescott, Arizona 86305-1606

Phone: (928) 445-3834

Record Information

Enumeration Date
April 23, 2013
Provider's NPPES Record Last Updated
April 23, 2013
NPISignal NPPES Dataset
August 2026

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