Sober Living Lifestyle

Specialty details in registry · Glendale, AZ

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At a glance

6013 W Claremont St, Glendale, AZ 85301-4407

NPPES record updated Dec 1, 2022. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

6013 W Claremont St
Glendale, AZ 85301-4407

Additional reported practice locations

319 N 2Nd Ave
Avondale, AZ 853231807
Phone: 6024216661
4948 W Pierson St
Phoenix, AZ 850311338
Phone: 6024216661
Professional details: NPI, taxonomy & registry record
NPI1629788559
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
Dec 1, 2022
Record updated
Dec 1, 2022
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

177F00000X

Specialty details in registry

251B00000X

Specialty details in registry

251S00000X · Primary

Specialty details in registry

320800000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

6013 W Claremont St
Glendale, AZ 85301-4407
Phone
(602) 421-6661
Mailing address
8751 N 51ST AVE STE 108

GLENDALE, AZ 853024943
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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