CAME TO PASS SOBER LIVING RECOVERY LLC NPI 1679067946

NPI Information

NPI: 1679067946
Provider Name: CAME TO PASS SOBER LIVING RECOVERY LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1072 E OLD CANYON CT
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 864-9702
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CAME TO PASS SOBER LIVING RECOVERY LLC is a rehabilitation and substance use disorder clinic center in Flagstaff, AZ. CAME TO PASS SOBER LIVING RECOVERY LLC NPI is 1679067946. The provider is registered as an organization entity type.

The provider's business location address is:

1072 E OLD CANYON CT
FLAGSTAFF, AZ
ZIP 86001-924
Phone: (928) 864-9702

The provider's authorized official is Graciela Del Moral .
The authorized official title is Owner/manager and has the following contact phone number (928) 864-9702.

The enumeration date for this NPI number is 6/19/2018 and was last updated on 6/19/2018.

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	251B00000X	Case Management		BH5453	ARIZONA	No
2	324500000X	Substance Abuse Rehabilitation Facility		BH5453	ARIZONA	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	BH5453	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: 4/28/2024

NPI Synchronization or Removal

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