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MR. FREDDY SISANGO
NPI 1124704341
Substance Abuse Rehabilitation Facility in Phoenix, AZ

Active since June 22, 2023
3028 S 66TH LN, PHOENIX, AZ 85043(602) 540-0437 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Freddy Sisango NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. FREDDY SISANGO (NPI 1124704341) is an individual substance abuse rehabilitation facility provider in Phoenix, Arizona and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1124704341
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameMR. FREDDY SISANGO
Location Address3028 S 66TH LNPhoenix, AZ 85043-5714
Mailing Address3028 S 66th LnPhoenix, AZ 85043-5714 · (602) 540-0437
Phone(602) 540-0437
Sole ProprietorYes
Enumeration DateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1124704341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
3028 S 66TH LN, Phoenix, AZ 85043
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freddy Sisango's NPI number?

The NPI number for Freddy Sisango is 1124704341. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Freddy Sisango located?

Freddy Sisango practices at 3028 S 66th Ln, Phoenix, AZ 85043. The listed phone number is (602) 540-0437.

What is Freddy Sisango's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Freddy Sisango was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.