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Sober Living Lifestyle
Mental Illness Community Based Residential Treatment Facility in Glendale, Arizona
NPI 1629788559

Sober Living Lifestyle is a Mental Illness Community Based Residential Treatment Facility based in Glendale, AZ. Sober Living Lifestyle practices in Glendale, AZ. The NPI Number for Sober Living Lifestyle is 1629788559 and holds a License No. (Arizona).

The current practice location address for Sober Living Lifestyle is 6013 W Claremont St, Glendale, AZ and can be reached out via phone at 602-421-6661.

Location: 6013 W Claremont St, Glendale, AZ, 85302-4943
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629788559
Provider Name
Sober Living Lifestyle
Credential
Provider Entity Type
Organization
Address
6013 W Claremont St, Glendale, AZ, 85302-4943
Phone Number
602-421-6661
Fax Number
Provider Enumeration Date
12/01/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6013 W Claremont St
City
Glendale
State
Arizona
Zip
85301-4407
Phone Number
602-421-6661
Fax Number
person
Provider Business Mailing Address Details
Address
6013 W Claremont St
City
Glendale
State
Arizona
Zip
85301-4407
Phone Number
602-421-6661
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
()
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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