Organization · Type 2 NPI

Sanctuary Sober Living LLC

Substance Abuse Rehabilitation Facility · Phoenix, AZ

NPI number 1174236897 Active

Practice location

17632 N 28th St
Phoenix, AZ 85032-1904

Fax (602) 612-3769

Mailing address

11645 N Cave Creek Rd
Phoenix, AZ 85020-1300

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Psychiatric Residential Treatment Facility 323P00000XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed

Substance Abuse Rehabilitation Facility: 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.

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About NPI 1174236897

Sanctuary Sober Living LLC's National Provider Identifier is 1174236897, issued on Dec 27, 2022. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 27, 2022.