| NPI | 1609452838 |
|---|---|
| Doing Business As | AXIOM OC SOBER LIVING |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PRIESING President 657-342-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QR1300X Clinic/Center, Rural Health | |
| 302R00000X Health Maintenance Organization | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2024-08-20 |