| Destiny Sober Living | |
|
23828 W Mesquite Dr Buckeye AZ 85396-6377 | |
| (602) 249-6674 | |
| (602) 926-0590 |
| Full Name | Destiny Sober Living |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23828 W Mesquite Dr, Buckeye, Arizona |
| Authorized Official Name and Position | Kathleen Geor-zell Bynum (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6022496674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Sober Living 5306 N 17th Ave Phoenix AZ 85015-3035 Ph: (602) 249-6674 | Destiny Sober Living 23828 W Mesquite Dr Buckeye AZ 85396-6377 Ph: (602) 249-6674 |
| NPI Number | 1699255323 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 08/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699255323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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