Organization
JUST IN TIME SOBER LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN EARL LONG (OWNER/ADMINSTRATOR)
(602) 427-8959
Entity
Organization
Contact information
Practice address
11110 W COLLEGE DR, PHOENIX, AZ 85037-1269
(602) 427-8959
Mailing address
11110 W COLLEGE DR, PHOENIX, AZ 85037-1269
(602) 427-8959
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
08/10/2021
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