Came to Pass Sober Living Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

BH5453 Issued in AZ

Legal business name

CAME TO PASS SOBER LIVING RECOVERY LLC

Practice address

1072 E Old Canyon CT
Flagstaff, AZ 86001-5924

Phone

(928) 864-9702

NPI assigned

Jun 19, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Graciela Del Moral

Title

Owner/Manager

Phone

(928) 864-9702

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1679067946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 E OLD CANYON CT",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015924",
            "telephone_number": "928-864-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 E OLD CANYON CT",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015924",
            "telephone_number": "928-864-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAME TO PASS SOBER LIVING RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "DEL MORAL",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "928-864-9702"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AZ",
            "license": "BH5453",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "AZ",
            "license": "BH5453",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH5453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Jean Cahoy, LPC
• Carin Cain, MD
• Stanley Behrman Caire, D.C.
• Kaitlin Callaghan, FNP
• Dalila Aime Camacho-Hernandez
• Shantel Cameron
• Claire Camp
• Stacy Camp, RN
• Douglas L. Campbell, DDS, MS, PC
• Diana Campos, SLPA

• Substance Use Disorder Rehabilitation Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.