Organization
SAND & STONE RETREAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN FINCH (CEO)
(480) 633-2444
Entity
Organization
Contact information
Practice address
4360 E COLTER ST, PHOENIX, AZ 85018-1659
(480) 633-2444
Mailing address
4360 E COLTER ST, PHOENIX, AZ 85018-1659
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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