Organization
IMMANUEL SOBRIETY INC.
Active
Other names
Immanuel House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH REID (EXECUTIVE DIRECTOR)
(951) 530-7680
Entity
Organization
Contact information
Practice address
13921 COURAGE ST, MORENO VALLEY, CA 92553-8757
(951) 267-7686
Mailing address
PO BOX 10271, MORENO VALLEY, CA 92552-0271
(951) 653-3000
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
12/04/2024
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