# SOBRIETY THROUGH EDUCATIONAL PEER SUPPORT

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

## Provider details

- **NPI number:** 1467102780
- **Authorized official:** KAMAR FERGUSON (ADMINISTRATOR)
- **Authorized official phone:** (628) 628-7255

## Contact information

- **Practice address:** 5750 W RAYMOND ST, PHOENIX, AZ 85043-6442
- **Practice address phone:** (628) 628-7255
- **Mailing address:** 5750 W RAYMOND ST, PHOENIX, AZ 85043-6442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/28/2022
- **Last updated:** 03/28/2022