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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us