Organization
SOBER SPOT LLC, THE
Active
Other names
THE SOBER SPOT RECOVERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BALAGUL PROGRM DIRECTOR (FOUNDER)
(718) 614-8044
Entity
Organization
Contact information
Practice address
25241 PASEO DE ALICIA, LAGUNA HILLS, CA 92653-4643
(949) 388-5123
(888) 510-9071
Mailing address
25241 PASEO DE ALICIA, LAGUNA HILLS, CA 92653-4643
(949) 388-5123
(888) 510-9071
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
300333AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300333AP
STATE OF CALIFORNIA LICENSE
CA
Enumeration date
07/20/2016
Last updated
07/20/2016
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