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Organization

SOBER SHORES, INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SEAN REAGAN STAFFORD SR. J.D., CAS (DIRECTOR)
(866) 660-5763
Entity
Organization

Contact information

Practice address
42509 CARINO PL, TEMECULA, CA 92592-2239
(866) 660-5763
(951) 526-2264
Mailing address
42509 CARINO PL, TEMECULA, CA 92592-2239
(866) 660-5763
(951) 526-2264

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
330084AP
CA

Other

Enumeration date
03/31/2009
Last updated
03/31/2009
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