Organization
CLEAN & SOBER RECOVERY SERVICES INC.
Active
Other names
Clean & Sober Recovery Home Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DAVID PERRY CADC-CAS (PRESIDENT)
(916) 990-0190
Entity
Organization
Contact information
Practice address
5820 CHESTNUT AVE, ORANGEVALE, CA 95662-4807
(916) 990-0190
(916) 990-0193
Mailing address
5820 CHESTNUT AVE, ORANGEVALE, CA 95662-4807
(916) 990-0190
(916) 990-0193
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
340093AP
CA
Other
Enumeration date
06/02/2008
Last updated
07/19/2016
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