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Organization

SOBERTEC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARRYLE MACKELVEY (SUPERVISOR)
(714) 948-6086
Entity
Organization

Contact information

Practice address
610 AVENIDA ACAPULCO, SAN CLEMENTE, CA 92672-2461
(949) 877-3656
Mailing address
2350 SE BRISTOL ST, NEWPORT BEACH, CA 92660-1528

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300254BP
CA

Other

Enumeration date
10/31/2014
Last updated
12/18/2019
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