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JOHNWICK NATHAN
NPI 1306327770
Substance Abuse Rehabilitation Facility in Laveen, AZ

Active since August 23, 2018
6736 W CARSON RD, LAVEEN, AZ 85339(860) 938-6845 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Johnwick Nathan NPPES

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

JOHNWICK NATHAN (NPI 1306327770) is an individual substance abuse rehabilitation facility provider in Laveen, Arizona and active in the NPI registry since August 2018. He maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1306327770
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameJOHNWICK NATHAN
Location Address6736 W CARSON RDLaveen, AZ 85339-7024
Mailing Address3950 W Chandler Blvd Apt 3049Chandler, AZ 85226-2662 · (860) 938-6845
Phone(860) 938-6845
Sole ProprietorYes
Enumeration DateAugust 23, 2018
✔ NPI 1306327770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
6736 W CARSON RD, Laveen, AZ 85339
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Secondary Practice Location 1

Location 17015 N 23rd LnPhoenix, AZ 85021-7605 · Phone (860) 938-6845

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARBOR BEHAVIORAL HEALTH & COUNSELING, LLC
Rehabilitation, Substance Use Disorder Unit
6736 W CARSON RD
LAVEEN, AZ 85339
Maricopa County (860) 938-6845
CARSON CARE FACILITY LLC
Assisted Living Facility
6736 W CARSON RD
LAVEEN, AZ 85339
Maricopa County (623) 236-5843
PROJECT180-PHOENIX, LLC
Clinic/Center (Adult Mental Health)
6736 W CARSON RD
LAVEEN, AZ 85339
Maricopa County (602) 888-6779

Frequently Asked Questions

What is Johnwick Nathan's NPI number?

The NPI number assigned to this healthcare provider is 1306327770, enumerated as an "individual" on August 23, 2018.

Where is the provider located?

The provider is located at 6736 W CARSON RD LAVEEN, AZ 85339 and the phone number is (860) 938-6845.

What is the provider's specialty?

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.