Organization
IMMANUEL SOBRIETY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH REID (EXECUTIVE DIRECTOR)
(951) 530-7680
Entity
Organization
Contact information
Practice address
4954 ARLINGTON AVE # A&B, RIVERSIDE, CA 92504-2746
(951) 653-3000
Mailing address
PO BOX 10271, MORENO VALLEY, CA 92552-0271
(951) 653-3000
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
05/03/2025
Last updated
09/18/2025
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