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Sovereign Health Of Phoenix, Inc.
Mental Illness Community Based Residential Treatment Facility in Chandler, Arizona
NPI 1174950471

Sovereign Health Of Phoenix, Inc. is a Mental Illness Community Based Residential Treatment Facility based in San Clemente, AZ. Sovereign Health Of Phoenix, Inc. practices in Chandler, AZ. The NPI Number for Sovereign Health Of Phoenix, Inc. is 1174950471 and holds a License No. 2005211229 (Arizona).

The current practice location address for Sovereign Health Of Phoenix, Inc. is 111 S Hearthstone Way, Chandler, AZ and can be reached out via phone at 949-625-0376 and via fax at 949-390-9899.

Location: 111 S Hearthstone Way, Chandler, AZ, 92674-5705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174950471
Provider Name
Sovereign Health Of Phoenix, Inc.
Credential
Provider Entity Type
Organization
Address
111 S Hearthstone Way, Chandler, AZ, 92674-5705
Phone Number
949-625-0376
Fax Number
949-390-9899
Provider Enumeration Date
10/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 S Hearthstone Way
City
Chandler
State
Arizona
Zip
85226-5010
Phone Number
949-625-0376
Fax Number
949-390-9899
person
Provider Business Mailing Address Details
Address
111 S Hearthstone Way
City
Chandler
State
Arizona
Zip
85226-5010
Phone Number
949-625-0376
Fax Number
949-390-9899
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
2005211229 (Delaware)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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