NPI 1174950471

Sovereign Health of Phoenix, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Chandler, AZ

Practice location

Address: 111 S Hearthstone Way, Chandler, AZ 85226-5010
Phone: (949) 625-0376
Fax: (949) 390-9899
Mailing address: PO Box 5705, San Clemente, CA 92674-5705

Authorised official

Name: Ron Girskis
Title: Business Operations Specialist
Phone: (949) 359-8273

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 2005211229 (DE)

Other Community Based Residential Treatment Facility, Mental Illness providers in Arizona →

Registry record

NPI: 1174950471
Entity type: Organization
NPI issued: 1 Oct 2013
Record last updated: 19 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.