Organization
SANCTUARY
Active
Other names
Sanctuary-OGA
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY M. PARKER (CEO)
(480) 278-2315
Entity
Organization
Contact information
Practice address
2550 E ROSE GARDEN LN,, # 73404, PHOENIX, AZ 85050
(480) 278-2315
Mailing address
2550 E ROSE GARDEN LN UNIT 73404, PHOENIX, AZ 85050-7797
(480) 278-2315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/31/2019
Last updated
11/06/2025
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