Organization
SCOTT GROUP 010 LLC
Active
Organization
SCOTT GROUP 010 LLC
Active
Other names
Heroic Housing
Organization subpart
No
Provider details
NPI number
Authorized official
GARY A SCOTT SR. (CEO)
(480) 433-5593
Entity
Organization
Contact information
Practice address
9250 N 43RD AVE STE 10, GLENDALE, AZ 85302-3849
(480) 433-5593
Mailing address
9250 N 43RD AVE STE 10, GLENDALE, AZ 85302-3849
(480) 433-5593
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
05/21/2026
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