Organization
SOUTHWEST SOBER LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH STINNETT (MEMBER)
(520) 799-9505
Entity
Organization
Contact information
Practice address
330 W LOS ALTOS RD, TUCSON, AZ 85704-5671
(520) 799-9505
(520) 799-9506
Mailing address
1500 N 15TH AVE, TUCSON, AZ 85705-6413
(520) 799-9505
(520) 799-9506
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/06/2014
Last updated
07/06/2014
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