ABC SOBER LIVING NPI 1447898473

NPI Information

  • NPI: 1447898473
  • Provider Name: ABC SOBER LIVING
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: SOLEDAD HOUSE
  • CLIA Number: 05D2056116
  • Address: 4747 MORENA BLVD STE 200
    SAN DIEGO, CA
    ZIP 92117
  • Phone: (866) 314-3222

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NPI Details

ABC SOBER LIVING is a rehabilitation and substance use disorder clinic center in San Diego, CA. ABC SOBER LIVING NPI is 1447898473. The provider is registered as an organization entity type.
The provider Is Doing Business As Soledad House.

The provider's business location address is:

4747 MORENA BLVD STE 200
SAN DIEGO, CA
ZIP 92117-467
Phone: (866) 314-3222
Fax: (619) 923-3770

The provider's authorized official is Allie Farmer .
The authorized official title is Ceo and has the following contact phone number (619) 346-3904.

The CLIA number assigned to this NPI record is 05D2056116 - other - treatment facilty inpatie with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2019 and was last updated on 5/23/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 11/21/2025

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