Organization
SONORAN SKY COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA QUIROZ (REGIONAL DIRECTOR)
(602) 216-0518
Entity
Organization
Contact information
Practice address
4226 W. MARCO POLO, GLENDALE, AZ 85308
(623) 869-6882
(602) 674-0942
Mailing address
23005 N 15TH AVE STE 205, PHOENIX, AZ 85027-6309
(602) 216-0518
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
DDH1269
AZ
Other
Enumeration date
01/06/2017
Last updated
09/25/2025
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