Organization
UPLIFT SOBRIETY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CONNARD (CEO)
(909) 461-0960
Entity
Organization
Contact information
Practice address
7139 WOODLEY AVE, VAN NUYS, CA 91406-3932
(909) 461-0960
Mailing address
7139 WOODLEY AVE, VAN NUYS, CA 91406-3932
(909) 461-0960
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
04/20/2026
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