A SOBER WAY HOME


Address: 609 W Gurley St, Prescott, AZ 86305-3619
Phone: 9287763073

A SOBER WAY HOME (NPI# 1215263314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215263314
Entity Type Organization
Organization Name A SOBER WAY HOME
Practice Address 609 W Gurley St
Prescott
AZ 86305-3619
Mailing Address 609 W Gurley St
Prescott
AZ 86305
Practice Telephone 9287763073
Enumeration Date 2009-10-23
Last Update Date 2009-10-23
Authorized Official Name SANDRA TILLMAN (PRESIDENT)
Authorized Official Telephone 9287763073
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 276400000X Rehabilitation, Substance Use Disorder Unit BH3230 AZ Hospital Units
Y 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
BH3230 AZ Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982894036 A Sober Way Home Rehabilitation, Substance Use Disorder Unit 1211 East Gurley Street, Suite 2, Prescott, AZ 86301 2007-07-25

Office Location

Street Address 609 W GURLEY ST
City PRESCOTT
State AZ
Zip Code 86305-3619

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Taxonomy Information

Taxonomy Code 261QR0401X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Definition

Definition to come...

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Competitor

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City PRESCOTT
Zip Code 86305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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