Sober Stages Inc. Outpatient Program
NPI #1497178966 in Tarzana, California
Provider Information
- NPI Number
- 1497178966
- Entity Type
- Organization
- Organization Name
- Sober Stages Inc. Outpatient Program
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Feb 3, 2014
- Last Updated
- Feb 8, 2024
Practice Location
- Address
- 19562 VENTURA BLVD
- Address 2
- SUITE 233
- City
- Tarzana
- State
- California
- ZIP Code
- 91356-2955
- Phone
- (310) 810-8216
Authorized Official
- Name
- DR. SARA BIVANS, PHD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (310) 810-8216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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