Mr. Freddy Sisango - Phoenix, AZ

Mr. Freddy Sisango

Substance Abuse Rehabilitation Facility in Phoenix, Arizona

NPI 1124704341

Freddy Sisango is a Substance Abuse Rehabilitation Facility based in Phoenix, AZ. Freddy Sisango practices in Phoenix, AZ. The NPI Number for Freddy Sisango is 1124704341 and holds a License No. (Arizona).

The current practice location address for Freddy Sisango is 3028 S 66Th Ln, Phoenix, AZ and can be reached out via phone at 602-540-0437.

Location: 3028 S 66Th Ln, Phoenix, AZ, 85043-5714

NPI Number

1124704341

Provider Name

Freddy Sisango

Credential

Provider Entity Type

Individual

Gender

Male

Address

3028 S 66Th Ln, Phoenix, AZ, 85043-5714

Phone Number

602-540-0437

Fax Number

Provider Enumeration Date

06/22/2023

Last Update Date

03/10/2024

Address

3028 S 66Th Ln

City

Phoenix

State

Arizona

Zip

85043-5714

Phone Number

602-540-0437

Fax Number

Address

3028 S 66Th Ln

City

Phoenix

State

Arizona

Zip

85043-5714

Phone Number

602-540-0437

Fax Number

Type

Residential Treatment Facilities

Classification

Substance Abuse Rehabilitation Facility

Speciality

Taxonomy

324500000X

License No.

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Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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