Organization · Type 2 NPI
A Sober Way Home
Comprehensive Outpatient Rehabilitation Facility (CORF) · Prescott, AZ
NPI number
1982894036
Active
Practice location
1211 East Gurley Street, Suite 2
Prescott, AZ 86301
Fax (928) 445-3649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) Primary | 261QR0401X | BH3230 (AZ) |
| Recovery Care Clinic/Center | 261QR0800X | BH2563 (AZ) |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | BH3230 (AZ) |
Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...
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About NPI 1982894036
A Sober Way Home's National Provider Identifier is 1982894036, issued on Jul 25, 2007. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Prescott, AZ. The record was last updated on Feb 9, 2017.