OrganizationActive
Destiny Sober Living
NPI 1780194563 · Psychiatric Residential Treatment Facility · Buckeye, AZ
Provider details
- NPI number
- 1780194563
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Marcus Lewis, Ceo
- License
- BH5238 (AZ)
Practice location
24032 W Antelope Trl
Buckeye, AZ 85326-7196
Phone: (602) 224-9667
Fax: (602) 926-0590
Mailing address
5306 N 17th Ave
Phoenix, AZ 85015-3035
Registry dates
- Enumerated
- 2017-10-05
- Last updated
- 2017-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.