DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. FREDDY SISANGO

Active Sole Proprietor

MR. FREDDY SISANGO is a Substance Abuse Rehabilitation Facility healthcare provider located in PHOENIX, Arizona. NPI 1124704341 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · PHOENIX, AZ

Registration Details

NPI Number
1124704341
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2023 (3.1795665948622 yrs)
Last Updated
Jun 22, 2023
Sole Proprietor
Yes

Practice Information

Address
3028 S 66TH LN
PHOENIX, AZ, 850435714
Browse AZ providers · Browse ZIP 85043
Phone
6025400437
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Providers in PHOENIX, AZ

Name Credential NPI
MARIO TORREZ 1629750005
CHLOE ANTOINETTE BRADLEY 1043099286
MICHAEL ANTHONY JOHNSON JR. 1336938703
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.