Organization
A SOBER WAY HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LUCHINI (ACCOUNT MANAGER)
(928) 533-4220
Entity
Organization
Contact information
Practice address
10575 N 114TH ST, #107, SCOTTSDALE, AZ 85259-4908
(844) 865-4056
Mailing address
195 PLAZA DR, PRESCOTT, AZ 86303-5549
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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