DESTINY SOBER LIVING
NPI 1780194563
Psychiatric Residential Treatment Facility in Buckeye, AZ

Active since October 05, 2017
24032 W ANTELOPE TRL, BUCKEYE, AZ 85326(602) 224-9667(602) 926-0590 Get Directions Write a Review

NPPES record last updated: October 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Destiny Sober Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTINY SOBER LIVING (NPI 1780194563) is a healthcare organization registered as a psychiatric residential treatment facility in Buckeye, Arizona and active in the NPI registry since October 2017. The organization lists Marcus J Lewis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780194563
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameDESTINY SOBER LIVING
Location Address24032 W ANTELOPE TRLBuckeye, AZ 85326-7196
Mailing Address5306 N 17th AvePhoenix, AZ 85015-3035 · (602) 249-6674 · Fax (602) 926-0590
Fax(602) 926-0590
Organization SubpartNo
Authorized OfficialMarcus J LewisCeo · (602) 249-6674
Enumeration DateOctober 5, 2017
NPI 1780194563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
License Licensed in AZ · BH5238
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
24032 W ANTELOPE TRL, Buckeye, AZ 85326

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Destiny Sober Living's NPI number?

The NPI number for Destiny Sober Living is 1780194563. It was assigned to this organization in the NPPES registry on October 5, 2017.

Where is Destiny Sober Living located?

Destiny Sober Living is located at 24032 W Antelope Trl, Buckeye, AZ 85326. The listed phone number is (602) 224-9667.

What is Destiny Sober Living's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Destiny Sober Living was last updated on October 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.