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Greengate Intensive, Llc
Substance Abuse Rehabilitation Facility in Flagstaff, Arizona
NPI 1619291549

Greengate Intensive, Llc is a Substance Abuse Rehabilitation Facility based in Flagstaff, AZ. Greengate Intensive, Llc practices in Flagstaff, AZ. The NPI Number for Greengate Intensive, Llc is 1619291549 and holds a License No. BH-3440 (Arizona).

The current practice location address for Greengate Intensive, Llc is 1560 E Route 66, Flagstaff, AZ and can be reached out via phone at 928-814-2008. You can also correspond with Greengate Intensive, Llc through the mailing address at 1560 E ROUTE 66, FLAGSTAFF, AZ - 86001-4821 (mailing address contact number: 928-814-2008).

Location: 1560 E Route 66, Flagstaff, AZ, 86001-4821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619291549
Provider Name
Greengate Intensive, Llc
Credential
Provider Entity Type
Organization
Address
1560 E Route 66, Flagstaff, AZ, 86001-4821
Phone Number
928-814-2008
Fax Number
Provider Enumeration Date
03/22/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1560 E Route 66
City
Flagstaff
State
Arizona
Zip
86001-4821
Phone Number
928-814-2008
Fax Number
person
Provider Business Mailing Address Details
Address
1560 E Route 66
City
Flagstaff
State
Arizona
Zip
86001-4821
Phone Number
928-814-2008
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
BH-3440 (Arizona)
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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