NPI | 1336599182 |
---|---|
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 |
Enumeration Date | 2016-06-13 |
Last Update Date | 2022-03-28 |