Sober Nation LLC

NPI #1164971073 in Oakwood, Ohio

Provider Information

NPI Number
1164971073
Entity Type
Organization
Organization Name
Sober Nation LLC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Oct 4, 2016
Last Updated
Oct 4, 2016

Practice Location

Address
226 WONDERLY AVE
State
Ohio
ZIP Code
45419-1755
Phone
(937) 999-2561

Authorized Official

Name
DR. CHARLES M MISJA, M.D.
Title
MEDICAL DOCTOR/ OWNER
Phone
(937) 260-3156

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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