| NPI | 1679328660 |
|---|---|
| Doing Business As | SOBER UP |
| Entity Type | Organization |
| Authorized Contact | JONATHAN AVALOS Medical Director 626-242-7138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |