| Scott Group 010 Llc | |
|
6551 S 43rd Ln Laveen AZ 85339-6246 | |
| (480) 613-7677 | |
| Not Available |
| Full Name | Scott Group 010 Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 6551 S 43rd Ln, Laveen, Arizona |
| Authorized Official Name and Position | Gary A Scott (CEO) |
| Authorized Official Contact | 7038648197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Group 010 Llc 15411 W Waddell Rd Ste 102-128 Surprise AZ 85379-5170 Ph: (480) 613-7677 | Scott Group 010 Llc 6551 S 43rd Ln Laveen AZ 85339-6246 Ph: (480) 613-7677 |
| NPI Number | 1558122937 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558122937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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