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Sober Stages Inc. Outpatient Program
Substance Use Disorder Rehabilitation Clinic/Center in Tarzana, California
NPI 1497178966

Sober Stages Inc. Outpatient Program is a Substance Use Disorder Rehabilitation Clinic/Center based in Tarzana, CA and is specialized in Rehabilitation, Substance Use Disorder. Sober Stages Inc. Outpatient Program practices in Tarzana, CA. The NPI Number for Sober Stages Inc. Outpatient Program is 1497178966 and holds a License No. (California).

The current practice location address for Sober Stages Inc. Outpatient Program is 19562 Ventura Blvd, Tarzana, CA and can be reached out via phone at 310-810-8216.

Location: 19562 Ventura Blvd, Tarzana, CA, 91356-2955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497178966
Provider Name
Sober Stages Inc. Outpatient Program
Credential
Provider Entity Type
Organization
Address
19562 Ventura Blvd, Tarzana, CA, 91356-2955
Phone Number
310-810-8216
Fax Number
Provider Enumeration Date
02/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19562 Ventura Blvd
City
Tarzana
State
California
Zip
91356-2955
Phone Number
310-810-8216
Fax Number
person
Provider Business Mailing Address Details
Address
19562 Ventura Blvd
City
Tarzana
State
California
Zip
91356-2955
Phone Number
310-810-8216
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
LR1170411 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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