Organization
SOBRIETY THROUGH EDUCATIONAL PEER SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAR FERGUSON (ADMINISTRATOR)
(628) 628-7255
Entity
Organization
Contact information
Practice address
5750 W RAYMOND ST, PHOENIX, AZ 85043-6442
(628) 628-7255
Mailing address
5750 W RAYMOND ST, PHOENIX, AZ 85043-6442
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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