Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNWICK NATHAN
Active Sole ProprietorJOHNWICK NATHAN is a Substance Abuse Rehabilitation Facility healthcare provider located in LAVEEN, Arizona. NPI 1306327770 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · LAVEEN, AZ
Registration Details
- NPI Number
- 1306327770
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2018 (7.9655761757568 yrs)
- Last Updated
- Aug 23, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
6736 W CARSON RDLAVEEN, AZ, 853397024Browse AZ providers · Browse ZIP 85339
- Phone
- 8609386845
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
- Additional Specialty
- Community/Behavioral Health
- Additional Specialty
- Substance Abuse Rehabilitation Facility
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.