MAIN STREET DIAGNOSTIC, LLC

Substance Abuse Rehabilitation Facility

Active Organization
NPI: 1972639748

Practice Address

636 N MAIN ST
Cottonwood, AZ 86326

Phone: (928) 639-4440

Specialties

Specialty Code Primary License
Substance Abuse Rehabilitation Facility 324500000X Yes PENDING (AZ)

Frequently Asked Questions

NPI 1972639748 is the National Provider Identifier for MAIN STREET DIAGNOSTIC, LLC, a Substance Abuse Rehabilitation Facility provider located in Cottonwood, AZ. This NPI was enumerated on February 26, 2007.

Quick Facts

NPI
1972639748
Type
Organization
Enumerated
Feb 26, 2007
Last Updated
Aug 22, 2020

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