Organization
DETOX CENTERS LLC
Active
Organization
DETOX CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONNY DIAZ (PROGRAM DIRECTOR)
(602) 344-9850
Entity
Organization
Contact information
Practice address
3724 N 3RD ST # 201, PHOENIX, AZ 85012-2034
(602) 344-9850
(602) 490-8894
Mailing address
3724 N 3RD ST # 201, PHOENIX, AZ 85012-2034
(602) 344-9850
(602) 490-8894
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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