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Organization
THE SOBER SPOT, LLC
Active
Organization
THE SOBER SPOT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BALAGUL (CEO/ PROGRAM DIRECTOR)
(718) 614-8044
Entity
Organization
Contact information
Practice address
655 CAMINO DE LOS MARES, SUITE 121, SAN CLEMENTE, CA 92673
(949) 388-5123
Mailing address
655 CAMINO DE LOS MARES, SUITE 121, SAN CLEMENTE, CA 92673
(949) 388-5123
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
42751
CA
111N00000X
Chiropractor
DC28609
CA
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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