Organization
SOBER NATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTUANET PAMBUKCHYAN (CEO)
(323) 440-0444
Entity
Organization
Contact information
Practice address
1834 SHADOW CANYON RD, ACTON, CA 93510-1889
(323) 440-0444
Mailing address
1834 SHADOW CANYON RD, ACTON, CA 93510-1889
(323) 440-0444
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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