| NPI | 1831520360 |
|---|---|
| Doing Business As | SOBA RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | AUDREY GRAHAM CFO 310-457-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2022-03-28 |