Organization
GALLUS OUTPATIENT SERVICES OF ARIZONA LLC
Active
Organization
GALLUS OUTPATIENT SERVICES OF ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL MATTHEWS (PRESIDENT)
(720) 501-2222
Entity
Organization
Contact information
Practice address
2600 N 44TH ST STE B102, PHOENIX, AZ 85008-1587
(720) 501-2220
Mailing address
6110 E COLFAX AVENUE, UNIT 4, PMB 302, DENVER, CO 80220
(720) 501-2222
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
01/19/2026
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