A SOBER WAY HOME
NPI 1215263314
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Prescott, AZ
Active since October 23, 2009
About A Sober Way Home NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
A SOBER WAY HOME (NPI 1215263314) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Prescott, Arizona and active in the NPI registry since October 2009. The organization lists Sandra Tillman, President, as its authorized official.
NPPES Registry Identity
NPI1215263314
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameA SOBER WAY HOME
Location Address609 W GURLEY STPrescott, AZ 86305-3619
Mailing Address609 W Gurley StPrescott, AZ 86305
Phone(928) 776-3073
Organization SubpartNo
Authorized OfficialSandra TillmanPresident · (928) 776-3073
Enumeration DateOctober 23, 2009
✔ NPI 1215263314 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
License✔ Licensed in AZ · BH3230
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X · License BH3230 (AZ)
609 W GURLEY ST, Prescott, AZ 86305
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215263314, enumerated as an "organization" on October 23, 2009.
The provider is located at 609 W GURLEY ST PRESCOTT, AZ 86305 and the phone number is (928) 776-3073.
Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).
