Organization · Type 2 NPI

Clean Adventures of Sober Living, LLC

Community/Behavioral Health Agency · Prescott, AZ

NPI number 1366764045 Active

Practice location

534 Madison Ave
Prescott, AZ 86301-2433

Fax (928) 776-4781

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	BH-3525 (AZ)
Community/Behavioral Health Agency Primary	251S00000X	OTC6727 (AZ)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1366764045

Clean Adventures of Sober Living, LLC's National Provider Identifier is 1366764045, issued on Feb 22, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Prescott, AZ. The record was last updated on Apr 21, 2016.