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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLEAN ADVENTURES OF SOBER LIVING, LLC

Active Organization

CLEAN ADVENTURES OF SOBER LIVING, LLC is a Community/Behavioral Health organization located in PRESCOTT, Arizona. NPI 1366764045 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · PRESCOTT, AZ

Registration Details

NPI Number
1366764045
Provider Type
Organization
NPI Issued
Feb 22, 2010 (16.512311668245 yrs)
Last Updated
Apr 21, 2016
Licenses
BH-3525 (AZ)
OTC6727 (AZ)

Practice Information

Address
534 MADISON AVE
PRESCOTT, AZ, 863012433
Browse AZ providers · Browse ZIP 86301
Phone
9284438767
Fax
9287764781
Primary Specialty
Community/Behavioral Health
251S00000X
Additional Specialty
Community/Behavioral Health
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.