Organization
SOBRIETY NOW LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK KIKER (CEO)
(856) 498-1243
Entity
Organization
Contact information
Practice address
100 S BROAD ST STE 2230, PHILADELPHIA, PA 19110-1021
(267) 704-9669
Mailing address
100 S BROAD ST STE 2230, PHILADELPHIA, PA 19110-1021
(267) 704-9669
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
10/16/2019
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