Organization
SCOTT-SOMMER SOBRIETY SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN SOMMER (PROGRAM DIRECTOR)
(657) 493-3007
Entity
Organization
Contact information
Practice address
1370 LOGAN AVE STE K, COSTA MESA, CA 92626-4024
(657) 493-3007
Mailing address
1370 LOGAN AVE STE K, COSTA MESA, CA 92626-4024
(657) 493-3007
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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