Organization
DESERT ROSE SOBER LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENNA KATHLEEN SKINNER (CEO/ADMINISTRATOR)
(520) 895-9111
Entity
Organization
Contact information
Practice address
365 W BERRIDGE DR, SIERRA VISTA, AZ 85635-3007
(520) 895-9111
Mailing address
PO BOX 3645, SIERRA VISTA, AZ 85636-3645
(520) 895-9111
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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