Destiny Sober Living II Carver Ranch

NPI #1265849939 in Laveen, Arizona

Provider Information

NPI Number
1265849939
Entity Type
Organization
Organization Name
Destiny Sober Living II Carver Ranch
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jul 15, 2014
Last Updated
Jul 15, 2014

Practice Location

Address
11629 S 43RD AVE
City
Laveen
State
Arizona
ZIP Code
85339-3245
Phone
(602) 249-6685

Authorized Official

Name
MR. MARCUS J LEWIS
Title
PRESIDENT/CEO
Phone
(602) 249-6675

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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