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Organization
SOBA OUTPATIENT AND RECOVERY LLC
Active
Organization
SOBA OUTPATIENT AND RECOVERY LLC
Active
Parent organization
SOBA OUTPATIENT AND RECOVERY
Other names
SOAR
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOBA OUTPATIENT AND RECOVERY
Authorized official
MR. GREGORY PAUL HANNLEY RRW (OWNER)
(310) 924-2053
Entity
Organization
Contact information
Practice address
22814 PACIFIC COAST HWY, MALIBU, CA 90265-5041
(310) 310-7740
Mailing address
22669 PACIFIC COAST HWY, MALIBU, CA 90265-5036
(310) 774-0904
(310) 919-3667
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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