| NPI | 1124574488 |
|---|---|
| Doing Business As | SOBER 180 |
| Entity Type | Organization |
| Authorized Contact | TONYA PELFREY Accounting Specialist 502-585-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2025-09-02 |