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Organization

SOBER LIVING OUTPATIENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID KOLKER MSW (THERAPIST/OWNER)
(877) 659-4555
Entity
Organization

Contact information

Practice address
416 S. E. 5TH STREET, DELRAY BEACH, FL 33483-4442
(877) 659-4555
Mailing address
416 S. E. 5TH STREET, DELRAY BEACH, FL 33483-4442
(877) 659-4555

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
FL

Other

Enumeration date
07/10/2012
Last updated
07/15/2014
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