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SOBER FIRST RECOVERY LLC NPI 1851898811


NPI Information

NPI: 1851898811
Provider Name: SOBER FIRST RECOVERY LLC

Doing Business As: SOBER FIRST RECOVERY

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2159840

Address:
3309 CLAY ST
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 574-2510
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SOBER FIRST RECOVERY LLC is a substance abuse rehabilitation facility in Newport Beach, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SOBER FIRST RECOVERY LLC NPI is 1851898811. The provider is registered as an organization entity type.
The provider Is Doing Business As Sober First Recovery.

The provider's business location address is:

3309 CLAY ST
NEWPORT BEACH, CA
ZIP 92663-208
Phone: (949) 574-2510

The provider's authorized official is Leslee Manderson .
The authorized official title is Owner and has the following contact phone number (949) 294-9974.

The CLIA number assigned to this NPI record is 05D2159840 - other - residential treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2018 and was last updated on 4/6/2018.


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
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)300027BPCALIFORNIANo
2324500000XSubstance Abuse Rehabilitation Facility300027APCALIFORNIAYes

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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