NPI 1053031088
Vicit LLC
Practice location
- Address
- 4015 W Pedro Ln, Laveen, AZ 85339-7868
- Phone
- (858) 603-8388
- Fax
- (602) 916-1467
- Mailing address
- 4430 W St Kateri Dr, Laveen, AZ 85339-6238
Authorised official
- Name
- Eric Macharia
- Title
- Administrator
- Phone
- (858) 603-8388
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1053031088
- Entity type
- Organization
- NPI issued
- 30 Aug 2022
- Record last updated
- 30 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.