Healthcare Provider Details

I. General information

NPI: 1144883489
Provider Name (Legal Business Name): BETTER SOBER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 04/29/2020
Certification Date: 04/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9339 LOUSE AVE
NORTHRIDGE CA
91325
US

IV. Provider business mailing address

9339 LOUSE AVE
NORTHRIDGE CA
91325
US

V. Phone/Fax

Practice location:
  • Phone: 818-477-2874
  • Fax:
Mailing address:
  • Phone: 818-477-2874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: BELINDA BAKER
Title or Position: CEO
Credential:
Phone: 323-202-8432