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SOBER LIFE RECOVERY SOLUTIONS LLC NPI 1386148625


NPI Information

NPI: 1386148625
Provider Name: SOBER LIFE RECOVERY SOLUTIONS LLC

Doing Business As: HEALTHY U BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 05D2163029

Address:
3930 4TH AVE STE 300
SAN DIEGO, CA
ZIP 92103
Phone: (619) 542-9542
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SOBER LIFE RECOVERY SOLUTIONS LLC is a rehabilitation and substance use disorder clinic center in San Diego, CA. SOBER LIFE RECOVERY SOLUTIONS LLC NPI is 1386148625. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthy U Behavioral Health.

The provider's business location address is:

3930 4TH AVE STE 300
SAN DIEGO, CA
ZIP 92103-119
Phone: (619) 542-9542
Fax: (619) 566-4979

The provider's authorized official is Bryan Amaro .
The authorized official title is Coo and has the following contact phone number (619) 542-9542.

The CLIA number assigned to this NPI record is 05D2163029 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2018 and was last updated on 5/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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