Johnwick Nathan

NPI #1306327770 in Laveen, Arizona

Provider Information

NPI Number
1306327770
Entity Type
Individual
Name
Johnwick Nathan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Aug 23, 2018
Last Updated
Aug 23, 2018

Practice Location

Address
6736 W CARSON RD
City
Laveen
State
Arizona
ZIP Code
85339-7024
Phone
(860) 938-6845

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Community/Behavioral Health
Substance Abuse Rehabilitation Facility

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