NPI Code Details Logo

NPI 1568306108

NPI 1568306108 : PROMISE SOBER LIVING LLC : NAPA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1568306108
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PROMISE SOBER LIVING LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/15/2026
-----------------------------------------------------
    Last Update Date     |    04/15/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    659 CUNARD DR 
-----------------------------------------------------
    City                 |    NAPA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94558-3628
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    707-620-5453
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 2512 
-----------------------------------------------------
    City                 |    NAPA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94558-0251
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    707-620-5453
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ASSISTANT
-----------------------------------------------------
    Name                 |     ANGELICA  SANCHEZ 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    602-451-1900
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    324500000X
-----------------------------------------------------
    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.