# HAVEN SENDERO DE SONORA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sendero de Sonora
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184814550
- **Authorized official:** MR. WILLIAM PAGE BARNES (CFO)
- **Authorized official phone:** (615) 250-9091

## Contact information

- **Practice address:** 2502 N DODGE BLVD, SUITE 160, TUCSON, AZ 85716-2671
- **Practice address phone:** (520) 618-8901
- **Mailing address:** 2502 N DODGE BLVD, SUITE 160, TUCSON, AZ 85716-2671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | BH2869 | AZ | Yes |

## Other

- **Enumeration date:** 07/31/2007
- **Last updated:** 07/31/2007