# HOREBU COMMUNITY SOBER LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205524329
- **Authorized official:** YVONNE BAHATI (DIRECTRESS)
- **Authorized official phone:** (480) 501-0957

## Contact information

- **Practice address:** 2001 W SUNNYSIDE AVE, PHOENIX, AZ 85029-3535
- **Practice address phone:** (480) 501-0957
- **Mailing address:** 2001 W SUNNYSIDE AVE, PHOENIX, AZ 85029-3535
- **Mailing address phone:** (480) 501-0957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 04/26/2023
- **Last updated:** 04/26/2023