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NPI Code Detail

MEDICARE: SOBRIETY NOW, INC

MEDICARE: SOBRIETY NOW, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility1550AD167101FL

General Provider Information

NPI Number : 1891112314
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOBRIETY NOW, INC
Provider Business Mailing Address
First Line : 639 E OCEAN AVE
Second Line : SUITE 205
City : BOYNTON BEACH
State : FL
Zip : 33435-5011
Country : US
Telephone Number : 561-299-8122
Fax Number :
Provider Business Practice Location Address
First Line : 639 E OCEAN AVE
Second Line : SUITE 204-205
City : BOYNTON BEACH
State : FL
Zip : 33435-5011
Country : US
Telephone Number : 561-299-8122
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. MICHAEL TIMOTHY BROWN
Credential :
Telephone Number : 561-299-8122
Provider Enumeration Date : 03/21/2014
Last Update Date : 06/17/2015

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Directions to “SOBRIETY NOW, INC ” Practice Location

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