THE SOBRIETY SHOP LLC NPI 1881488377

NPI Information

  • NPI: 1881488377
  • Provider Name: THE SOBRIETY SHOP LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 1015 COLUSA ST
    VALLEJO, CA
    ZIP 94590
  • Phone: (510) 612-7285

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NPI Details

THE SOBRIETY SHOP LLC is a rehabilitation and substance use disorder clinic center in Vallejo, CA. THE SOBRIETY SHOP LLC NPI is 1881488377. The provider is registered as an organization entity type.

The provider's business location address is:

1015 COLUSA ST
VALLEJO, CA
ZIP 94590-525
Phone: (510) 612-7285

The provider's authorized official is Torre Drue Samonek .
The authorized official title is Director and has the following contact phone number (510) 612-7285.

The enumeration date for this NPI number is 4/8/2025 and was last updated on 4/8/2025.

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

NPI Synchronization or Removal

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