Organization
SOBER LIFE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTRANIK KESHISHIAN (EXECUTIVE DIRECTOR)
(323) 913-0212
Entity
Organization
Contact information
Practice address
5250 SANTA MONICA BLVD, SUITE 218, LOS ANGELES, CA 90029-1252
(323) 465-3777
(323) 465-3773
Mailing address
5250 SANTA MONICA BLVD, SUITE 218, LOS ANGELES, CA 90029-1252
(323) 913-0212
(323) 913-0219
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/27/2009
Last updated
07/03/2013
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