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CLEAN & SOBER RECOVERY SERVICES INC. NPI 1922541317


NPI Information

NPI: 1922541317
Provider Name: CLEAN & SOBER RECOVERY SERVICES INC.

Doing Business As: CLEAN & SOBER RECOVERY HOME

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

Specialization: Rehabilitation, Substance Use Disorder

Address:
9198 GREENBACK LN
SUITE 101
ORANGEVALE, CA
ZIP 95662
Phone: (916) 990-0190
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CLEAN & SOBER RECOVERY SERVICES INC. is a rehabilitation and substance use disorder clinic center in Orangevale, CA. CLEAN & SOBER RECOVERY SERVICES INC. NPI is 1922541317. The provider is registered as an organization entity type.
The provider Is Doing Business As Clean & Sober Recovery Home.

The provider's business location address is:

9198 GREENBACK LN
SUITE 101
ORANGEVALE, CA
ZIP 95662-900
Phone: (916) 990-0190
Fax: (916) 990-0193

The provider's authorized official is John Perry .
The authorized official title is President and has the following contact phone number (916) 990-0190.

The enumeration date for this NPI number is 12/2/2016 and was last updated on 12/2/2016.


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 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: 11/14/2023

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