| NPI | 1144670951 |
|---|---|
| Doing Business As | SOBA RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | AUDREY GRAHAM CFO 310-457-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AZ OTC6989) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-02-01 |