OrganizationActive
Sonoran Sky Community Services
NPI 1679019129 · Mental Illness Community Based Residential Treatment Facility · Glendale, AZ
Provider details
- NPI number
- 1679019129
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Debra Quiroz, Regional Director(602) 216-0518
- License
- BH4769 (AZ)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19808 N 42nd Ave
Glendale, AZ 85308-2291
Phone: (623) 780-3583
Fax: (602) 674-0942
Street-level locationGet directions
Mailing address
23005 N 15th Ave Ste 205
Phoenix, AZ 85027-6309
Registry dates
- Enumerated
- 2017-01-09
- Last updated
- 2025-09-25
- Certified
- 2025-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.