Organization
FAMILY INSTITUTE FOR HEALTH AND RECOVERY
Active
Parent organization
DESTINY SOBER LIVING
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESTINY SOBER LIVING
Authorized official
MRS. KATHLEEN BYNUM LPC (EXECUTIVE DIRECTOR)
(602) 327-8375
Entity
Organization
Contact information
Practice address
5306 N 17TH AVE, PHOENIX, AZ 85015-3035
(602) 327-8375
Mailing address
1550 E UNIVERSITY DR, SUITE G, MESA, AZ 85203-8136
(602) 327-8375
(602) 926-0590
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
05/17/2016
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