Sober Living Lifestyle

LBN: Sober Living Lifestyle
Sober Living Lifestyle is an health care organization with primary practice located at 6013 W Claremont St , Glendale AZ 85301-4407. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Lodging, Agencies / Case Management, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is the primary health care specialty. Sober Living Lifestyle can be contacted via phone (602) 421-6661, or through Jenkins, Wellengten via phone (602) 421-6661.

Contact Information

Primary practice address
6013 W Claremont St Glendale AZ 85301-4407
Phone: (602) 421-6661
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jenkins, Wellengten
Phone: (602) 421-6661

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1629788559
LBN Legal business name Sober Living Lifestyle
DBA Doing business as
Authorized official Jenkins, Wellengten
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2022
Last updated Dec 1st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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