Organization
ABC SOBER LIVING
Active
Other names
Soledad House
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID POWERS (PROGRAM ADMINISTRATOR)
(619) 925-1879
Entity
Organization
Contact information
Practice address
810 EMERALD ST, SAN DIEGO, CA 92109-2712
(619) 925-1879
(858) 274-8700
Mailing address
810 EMERALD ST, SAN DIEGO, CA 92109-2712
(619) 925-1879
(858) 274-8700
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
370116AP
CA
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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