A SOBER WAY HOME NPI 1215263314

NPI Information

NPI: 1215263314
Provider Name: A SOBER WAY HOME
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
609 W GURLEY ST
PRESCOTT, AZ
ZIP 86305
Phone: (928) 776-3073
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A SOBER WAY HOME is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Prescott, AZ. A SOBER WAY HOME NPI is 1215263314. The provider is registered as an organization entity type.

The provider's business location address is:

609 W GURLEY ST
PRESCOTT, AZ
ZIP 86305-619
Phone: (928) 776-3073

The provider's authorized official is Sandra Tillman .
The authorized official title is President and has the following contact phone number (928) 776-3073.

The enumeration date for this NPI number is 10/23/2009 and was last updated on 10/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	276400000X	Rehabilitation, Substance Use Disorder Unit		BH3230	ARIZONA	No
2	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	BH3230	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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