Organization · Type 2 NPI

Destiny Sober Living

Psychiatric Residential Treatment Facility · Buckeye, AZ

NPI number 1780194563 Active

Practice location

24032 W Antelope Trl
Buckeye, AZ 85326-7196

Fax (602) 926-0590

Mailing address

5306 N 17th Ave
Phoenix, AZ 85015-3035

Specialties and licenses

TaxonomyCodeLicense
Psychiatric Residential Treatment Facility Primary 323P00000XBH5238 (AZ)

Psychiatric Residential Treatment Facility: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital car…

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About NPI 1780194563

Destiny Sober Living's National Provider Identifier is 1780194563, issued on Oct 5, 2017. The primary taxonomy on file is Psychiatric Residential Treatment Facility (323P00000X), and the practice location is in Buckeye, AZ. The record was last updated on Oct 5, 2017.