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NPI Code Detail

MEDICARE: SONORAN SKY COMMUNITY SERVICES

MEDICARE: SONORAN SKY COMMUNITY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment FacilityBH4806AZ

General Provider Information

NPI Number : 1588100036
Entity Type Code : Organization
Provider Name (Legal Business Name) : SONORAN SKY COMMUNITY SERVICES
Provider Business Mailing Address
First Line : 23005 N 15TH AVE STE 205
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-6309
Country : US
Telephone Number : 602-216-0518
Fax Number :
Provider Business Practice Location Address
First Line : 8028 N 56TH LN
Second Line :
City : GLENDALE
State : AZ
Zip : 85302-4661
Country : US
Telephone Number : 623-433-9386
Fax Number : 602-674-0942
Authorized Official
Title or Position : REGIONAL DIRECTOR
Name : DEBRA QUIROZ
Credential :
Telephone Number : 602-216-0518
Provider Enumeration Date : 01/09/2017
Last Update Date : 09/25/2025

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Directions to “SONORAN SKY COMMUNITY SERVICES ” Practice Location

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