OrganizationActive
A Sober Way Home
NPI 1982894036 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Prescott, AZ
Provider details
- NPI number
- 1982894036
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Authorized official
- Sandra Tillman, President
- License
- BH3230 (AZ)
Practice location
1211 East Gurley Street
Suite 2
Prescott, AZ 86301
Phone: (928) 445-3834
Fax: (928) 445-3649
Mailing address
1211 East Gurley Street
Prescott, AZ 86301
Registry dates
- Enumerated
- 2007-07-25
- Last updated
- 2017-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.