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Organization

SOLUTIONS OF SOBRIETY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK LEGENZOFF (OWNER)
(901) 228-0269
Entity
Organization

Contact information

Practice address
13832 N 32ND ST STE C136, PHOENIX, AZ 85032-5613
(833) 607-6237
Mailing address
13832 N 32ND ST STE C136, PHOENIX, AZ 85032-5613
(833) 607-6237

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760775837
AZ
05
1972962082
AZ
Enumeration date
11/17/2021
Last updated
11/17/2021
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