NPI | 1144670951 |
---|---|
Doing Business As | SOBA RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | AUDREY GRAHAM CFO 310-457-5250 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AZ OTC6989) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2016-06-13 |
Last Update Date | 2025-06-03 |