RECOVERY IN THE PINES, LLC
Agencies at 12 Pl, Prescott, AZ

License number
Arizona CSLG6504
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: MR. ALBERT BLACK
Title: OWNER
Phone: (928) 308-4311
Address
Address
919 12Th Pl #13, Prescott, AZ 86305
National Provider ID: 1508207523
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RECOVERY IN THE PINES, LLC at bizstanding.com

RECOVERY IN THE PINES, LLC

919 12 Pl STE 13, Prescott, AZ 86305

Doing business as:
Recovery In The Pines
Registration:
Jul 14, 2014
Phone:
(928) 227-2967 (Phone)
State ID:
L-1939051-2
Expiration:
PERPETUAL
Members:
Albert Black (Manager), 919 12 Pl STE 13, Prescott, AZ 86305 (Physical),Douglas D Dolan (Manager), 919 12 Pl STE 13, Prescott, AZ 86305 (Physical),Karen Black (Member), 919 12 Pl STE 13, Prescott, AZ 86305 (Physical)
Agent:
Favour & Wilhelmsen Pllc,1580 Plz West Dr, Prescott, AZ 86303 (Physical)
Categories:
Rehabilitation Services

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