Organization
GALLUS DETOX SCOTTSDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON WEIR RN (ADMINISTRATOR & DIRECTOR OF NURSING)
(928) 227-2300
Entity
Organization
Contact information
Practice address
4326 N 75TH ST, SCOTTSDALE, AZ 85251-3505
(928) 227-2300
(928) 771-0206
Mailing address
4326 N 75TH ST, SCOTTSDALE, AZ 85251-3505
(928) 227-2300
(928) 771-0206
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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