MAIN STREET DIAGNOSTIC, LLC
Residential Treatment Facilities at Main St, Cottonwood, AZ

License number
Arizona PENDING
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: MARIA CARRILLO
Title: FINANCE COORDINATOR
Phone: (928) 639-4440
Address
Address
636 N Main St, Cottonwood, AZ 86326
National Provider ID: 1972639748
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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