| NPI | 1053127134 |
|---|---|
| Doing Business As | CASA SOBRIA |
| Entity Type | Organization |
| Authorized Contact | LARRY J COFFMAN Managing Member 405-900-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2025-01-29 |