Organization
SONORAN RESEARCH GROUP, LLC
Active
Other names
Transitional Living Center Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JOSEPH ALBERTA PH.D. (PRESIDENT)
(602) 369-0075
Entity
Organization
Contact information
Practice address
1444 S 4TH AVE, YUMA, AZ 85364-4604
(928) 261-8668
Mailing address
3525 E COCHISE DR, PHOENIX, AZ 85028-3924
(602) 369-0075
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
BH2649
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133535
—
AZ
Enumeration date
11/07/2006
Last updated
08/22/2020
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