institution
Soba Texas Llc
Substance Abuse Rehabilitation Facility in San Antonio, Texas
NPI 1831520360

Soba Texas Llc is a Substance Abuse Rehabilitation Facility based in San Antonio, TX. Soba Texas Llc practices in San Antonio, TX. The NPI Number for Soba Texas Llc is 1831520360 and holds a License No. (Texas).

The current practice location address for Soba Texas Llc is 1401 Dezarae Lot 3, San Antonio, TX and can be reached out via phone at 210-530-4167 and via fax at 310-919-0319. You can also correspond with Soba Texas Llc through the mailing address at 1401 DEZARAE LOT 3, SAN ANTONIO, TX - 78253-5986 (mailing address contact number: 310-457-2730).

Location: 1401 Dezarae Lot 3, San Antonio, TX, 78253-5986
institution
Provider Profile Details
NPI Number
1831520360
Provider Name
Soba Texas Llc
Credential
Provider Entity Type
Organization
Address
1401 Dezarae Lot 3, San Antonio, TX, 78253-5986
Phone Number
210-530-4167
Fax Number
310-919-0319
Provider Enumeration Date
12/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45D2067229 01 TX CMS CLIA
institution
Provider Business Practice Location Address Details
Address
1401 Dezarae Lot 3
City
State
Zip
78253-5986
Phone Number
210-530-4167
Fax Number
310-919-0319
person
Provider Business Mailing Address Details
Address
1401 Dezarae Lot 3
City
State
Zip
78253-5986
Phone Number
310-457-2730
Fax Number
310-919-0319
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
()
Definition
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.
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