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SOBRIETY THROUGH EDUCATIONAL PEER SUPPORT NPI 1467102780


NPI Information

NPI: 1467102780
Provider Name: SOBRIETY THROUGH EDUCATIONAL PEER SUPPORT
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
5750 W RAYMOND ST
PHOENIX, AZ
ZIP 85043
Phone: (628) 628-7255
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SOBRIETY THROUGH EDUCATIONAL PEER SUPPORT is a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. SOBRIETY THROUGH EDUCATIONAL PEER SUPPORT NPI is 1467102780. The provider is registered as an organization entity type.

The provider's business location address is:

5750 W RAYMOND ST
PHOENIX, AZ
ZIP 85043-442
Phone: (628) 628-7255

The provider's authorized official is Kamar Ferguson .
The authorized official title is Administrator and has the following contact phone number (628) 628-7255.

The enumeration date for this NPI number is 3/28/2022 and was last updated on 3/28/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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: 4/28/2024

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