Organization
SOBER LIVING LIFESTYLE
Active
Organization
SOBER LIVING LIFESTYLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WELLENGTEN JENKINS (DIRECTOR)
(602) 421-6661
Entity
Organization
Contact information
Practice address
6013 W CLAREMONT ST, GLENDALE, AZ 85301-4407
(602) 421-6661
Mailing address
8751 N 51ST AVE STE 108, GLENDALE, AZ 85302-4943
(602) 421-6661
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up