| NPI | 1306215470 |
|---|---|
| Doing Business As | SOBERTOO |
| Entity Type | Organization |
| Authorized Contact | THOMAS G INGRAM Member 800-545-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: KY 800153) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |