Organization
SANCTUARY SOBER LIVING LLC
Active
Parent organization
SANCTUARY SOBER LIVING LLC
Other names
SRC Rose Garden
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANCTUARY SOBER LIVING LLC
Authorized official
JOSEPH LANDIN (CEO)
(480) 309-9945
Entity
Organization
Contact information
Practice address
2027 E ROSE GARDEN LN, PHOENIX, AZ 85024-4418
(602) 612-3816
(602) 612-3769
Mailing address
11645 N CAVE CREEK RD, PHOENIX, AZ 85020-1300
(602) 612-3816
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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