1.21 Gigawatts
Substance Abuse Rehabilitation Facility in Scottsdale, AZ. Organization (NPI-2).
NPI number1508543638
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1508543638
- Entity type
- Organization (NPI-2)
- Legal business name
- 1.21 Gigawatts
- Organization subpart
- No
- Enumeration date
- Jun 30, 2023
- Certification date
- Jun 30, 2023
- Last updated
- Jun 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
3502 N Rose Circle DrScottsdale, AZ 85251-5458
Phone 480-695-4841
Mailing address
2409 E Mitchell DrPhoenix, AZ 85016-7415
Phone 480-695-4841
Authorized official
Joshua Carlson
Owner
4806954841
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