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SONORAN SKY COMMUNITY SERVICES
NPI 1710423389
Community Based Residential Treatment Facility, Mental Illness in Glendale, AZ

Active since January 06, 2017
3912 W POTTER DR, GLENDALE, AZ 85308(602) 216-0518(602) 674-0942 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 28, 2023, Jan 6, 2017 (2 updates tracked since 2017).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Community Based Residential Treatment Fa...

About SONORAN SKY COMMUNITY SERVICES

This page provides the complete NPI Profile along with additional information for Sonoran Sky Community Services, a provider established in Glendale, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1710423389 assigned on January 2017. The practitioner's primary taxonomy code is 320800000X with license number BH4573 (AZ). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Debra Quiroz (Regional Director)

NPI
1710423389 Verify this NPI
Provider Name
SONORAN SKY COMMUNITY SERVICES
Entity Type
Organization
Location Address
3912 W POTTER DR GLENDALE, AZ 85308
Location Phone
(602) 216-0518
Location Fax
(602) 674-0942
Mailing Address
23005 N 15TH AVE STE 205 PHOENIX, AZ 85027
Mailing Phone
(602) 216-0518
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-06-2017
Last Update Date
09-25-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
BH4573
License State
AZ
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBRA QUIROZ

Authorized Official Title
REGIONAL DIRECTOR
Authorized Official Phone
(602) 216-0518

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Frequently Asked Questions

What is SONORAN SKY COMMUNITY SERVICES's NPI number?

The NPI number assigned to this healthcare provider is 1710423389, enumerated as an "organization" on January 06, 2017.

Where is the provider located?

The provider is located at 3912 W POTTER DR GLENDALE, AZ 85308 and the phone number is (602) 216-0518.

What is the provider's specialty?

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.