Organization
LIVING SOBER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEFANIE RAE TUCKER BS (DIRECTOR OF OPERATIONS)
(561) 272-9404
Entity
Organization
Contact information
Practice address
885 SE 6TH AVE, SUITE H, DELRAY BEACH, FL 33483-5184
(561) 272-9404
(561) 272-9678
Mailing address
416 SE 5TH ST, DELRAY BEACH, FL 33483-4442
(561) 272-9404
(561) 272-9678
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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