Organization
SOBER FIRST RECOVERY LLC
Active
Other names
Sober First Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEE MANDERSON (OWNER)
(949) 294-9974
Entity
Organization
Contact information
Practice address
3309 CLAY ST, NEWPORT BEACH, CA 92663-4208
(949) 574-2510
Mailing address
3309 CLAY ST, NEWPORT BEACH, CA 92663-4208
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
300027BP
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
300027AP
CA
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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