Organization
SONORAN SKY COMMUNITY SERVICES
Active
Organization
SONORAN SKY COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SOYARS (DIRECTOR)
(602) 216-0518
Entity
Organization
Contact information
Practice address
5148 W. FRIER DR, GLENDALE, AZ 85301
(602) 216-0518
(602) 674-0942
Mailing address
9601 N BLACK CANYON HWY, PHOENIX, AZ 85021-2702
(602) 216-0518
(602) 674-0942
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH5001
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5001
HEALTH PLAN
AZ
Enumeration date
01/06/2017
Last updated
01/06/2017
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