SONORAN SKY COMMUNITY SERVICES; NPI #1366988933

Contact Information

SONORAN SKY COMMUNITY SERVICES

5148 W. FRIER DR
GLENDALE, AZ 85301

Phone: 602-216-0518
Fax: 602-674-0942
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Mental Illness	320800000X

Indicates primary specialty

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NPI Profile & details for SONORAN SKY COMMUNITY SERVICES

NPI Number 1366988933

LBN Legal business name SONORAN SKY COMMUNITY SERVICES

Authorized official SUSAN SOYARS - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/06/2017

Last updated 01/06/2017 - About 9 years ago

Identifiers

AZ	License #	BH5001
AZ	Other	BH5001	HEALTH PLAN

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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