Immanuel Sobriety Inc.
NPI #1467096818 in Moreno Valley, California
Provider Information
- NPI Number
- 1467096818
- Entity Type
- Organization
- Organization Name
- Immanuel Sobriety Inc.
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Oct 29, 2019
- Last Updated
- Dec 4, 2024
Practice Location
- Address
- 13921 COURAGE ST
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92553-8757
- Phone
- (951) 267-7686
Authorized Official
- Name
- MRS. ELIZABETH REID
- Title
- EXECUTIVE DIRECTOR
- Phone
- (951) 530-7680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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