Healthcare Provider Details

I. General information

NPI: 1346088036
Provider Name (Legal Business Name): SOBRIGHT RECOVERY AND REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7760 SHRADER RD STE A
HENRICO VA
23228-2552
US

IV. Provider business mailing address

7760 SHRADER RD STE A
HENRICO VA
23228-2552
US

V. Phone/Fax

Practice location:
  • Phone: 516-457-5015
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: ARIEL ROSENBERG
Title or Position: MANAGING PARTNER
Credential:
Phone: 516-457-5015