SOBER MOUNTAIN LLC NPI 1356051122

NPI Information

NPI: 1356051122
Provider Name: SOBER MOUNTAIN LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
580 E OLD LINDEN RD STE 3
SHOW LOW, AZ
ZIP 85901
Phone: (928) 551-6099
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SOBER MOUNTAIN LLC is a substance abuse rehabilitation facility in Show Low, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SOBER MOUNTAIN LLC NPI is 1356051122. The provider is registered as an organization entity type.

The provider's business location address is:

580 E OLD LINDEN RD STE 3
SHOW LOW, AZ
ZIP 85901-817
Phone: (928) 551-6099

The provider's authorized official is Eric Thorpe .
The authorized official title is Owner/ Partner and has the following contact phone number (928) 551-6099.

The enumeration date for this NPI number is 12/1/2022 and was last updated on 12/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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