Organization
CLEAN & SOBER RECOVERY SERVICES INC.
Active
Other names
Clean & Sober Recovery Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PERRY CADC-CAS (PRESIDENT)
(916) 990-0190
Entity
Organization
Contact information
Practice address
9198 GREENBACK LN, SUITE 101, ORANGEVALE, CA 95662-5900
(916) 990-0190
(916) 990-0193
Mailing address
9198 GREENBACK LN, SUITE 101, ORANGEVALE, CA 95662-5900
(916) 990-0190
(916) 990-0193
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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