Organization
HEALTHY SOBER LIVING CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANIRIHO JOEL (OWNER)
(515) 770-2231
Entity
Organization
Contact information
Practice address
2081 NW 81ST ST, CLIVE, IA 50325-5634
(515) 770-2231
Mailing address
2081 NW 81ST ST, CLIVE, IA 50325-5634
(515) 770-2231
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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