Organization
SOBERTEC LLC
Active
Parent organization
SOBERTEC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOBERTEC LLC
Authorized official
SCOTT WILSON (CEO)
(562) 310-0443
Entity
Organization
Contact information
Practice address
4425 MAR ESCARPA, SAN CLEMENTE, CA 92673-6412
(949) 498-4321
Mailing address
PO BOX 511544, LOS ANGELES, CA 90051-8099
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300254IP
CA
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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