The Sobriety Center LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1403AD666207 Issued in FL

Legal business name

THE SOBRIETY CENTER LLC

Practice address

221 San Vincente St
Panama City Beach, FL 32413

Phone

(850) 249-4300

Fax

(850) 640-1174

NPI assigned

Jan 22, 2014

Organization subpart

Yes

Parent organization

BEACHCOMBER RETREAT, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David E Murphree

Title

Ceo/Owner

Phone

(850) 249-4300

Specialties & licenses 1

Addresses

Part of

Beachcomber Retreat LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Beachcomber Retreat, LLC

  • Substance Abuse Rehabilitation Facility
  • Panama City Beach, FL
  • NPI 1720363195
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1588087985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SAN VINCENTE ST",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "32413",
            "telephone_number": "850-249-4300",
            "fax_number": "850-640-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SAN VINCENTE ST",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "32413",
            "telephone_number": "850-249-4300",
            "fax_number": "850-640-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOBRIETY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACHCOMBER RETREAT, LLC",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "MURPHREE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "850-249-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1403AD666207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.