National Provider Identifier Database

SONORAN SKY COMMUNITY SERVICES
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.


Contact Information

SONORAN SKY COMMUNITY SERVICES
5148 W. FRIER DR
GLENDALE, AZ85301
Phone: 602-216-0518
Fax: 602-674-0942
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for SONORAN SKY COMMUNITY SERVICES

NPI Number 1366988933
Legal business name
LBN
SONORAN SKY COMMUNITY SERVICES
Authorized official SUSAN SOYARS - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/06/2017
Last updated 01/06/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: BH5001
  • AZ Other: BH5001 HEALTH PLAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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