JOHNWICK NATHAN
Substance Abuse Rehabilitation Facility
Active
Individual
NPI: 1306327770
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community/Behavioral Health | 251S00000X | No | - |
| Substance Abuse Rehabilitation Facility | 324500000X | Yes | - |
| Counselor - Mental Health | 101YM0800X | No | - |
Frequently Asked Questions
NPI 1306327770 is the National Provider Identifier for JOHNWICK NATHAN, a Substance Abuse Rehabilitation Facility provider located in Laveen, AZ. This NPI was enumerated on August 23, 2018.
JOHNWICK NATHAN practices at 6736 W CARSON RD, Laveen, AZ 85339.
Quick Facts
- NPI
- 1306327770
- Type
- Individual
- Enumerated
- Aug 23, 2018
- Last Updated
- Aug 23, 2018
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