Organization
SOBER LYFE TREATMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GREGORY CHAUNCEY (OWNER)
(352) 650-0883
Entity
Organization
Contact information
Practice address
918 E BUSCH BLVD, TAMPA, FL 33612-8542
(813) 392-2203
(866) 635-1288
Mailing address
918 E BUSCH BLVD, TAMPA, FL 33612-8542
(813) 392-2203
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
09/23/2023
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