Individual provider · Type 1 NPI
Freddy Sisango
Substance Abuse Rehabilitation Facility · Phoenix, AZ
NPI number
1124704341
Active
Practice location
3028 S 66th Ln
Phoenix, AZ 85043-5714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Other substance abuse rehabilitation facility providers in Phoenix
About NPI 1124704341
Freddy Sisango's National Provider Identifier is 1124704341, issued on Jun 22, 2023. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 22, 2023.