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Organization

SOBER COACHES OF CALIFORNIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN RYAN FAILLE BSW, CATC III (COUNSELOR)
(800) 714-4796
Entity
Organization

Contact information

Practice address
5980 DANDRIDGE LN, UNIT 208, SAN DIEGO, CA 92115-6580
(800) 714-4796
(800) 714-4796
Mailing address
5980 DANDRIDGE LN, UNIT 208, SAN DIEGO, CA 92115-6580
(800) 714-4796
(800) 714-4796

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1239753
CA

Other

Enumeration date
10/01/2016
Last updated
10/01/2016
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