Organization
BE BRAVE SOBER LIVING ,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS MICHAEL JETT JR. (PRESIDENT)
(760) 963-2283
Entity
Organization
Contact information
Practice address
15394 BAXTER ST, VICTORVILLE, CA 92394-2515
(724) 252-7283
Mailing address
PO BOX 445, VICTORVILLE, CA 92393-0445
(760) 963-2283
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/06/2026
Last updated
07/21/2026
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