Organization
1.21 GIGAWATTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA CARLSON (OWNER)
(480) 695-4841
Entity
Organization
Contact information
Practice address
3502 N ROSE CIRCLE DR, SCOTTSDALE, AZ 85251-5458
(480) 695-4841
Mailing address
2409 E MITCHELL DR, PHOENIX, AZ 85016-7415
(480) 695-4841
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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