Sober Flow Recovery Project LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

0662 Issued in NM

Legal business name

SOBER FLOW RECOVERY PROJECT LLC

Practice address

10315 Woodley Ave Ste 229
Devonwood Office Park
Granada Hills, CA 91344-6951

Phone

(818) 207-0870

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Jiandan Janet Payza, MS, LPC, BC-DMT

Title

Clinical Director/Founder

Phone

(818) 207-0870

Specialties & licenses 1

Addresses

Other names 1

• Sober Flow Other name

Locations

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1831567940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 WOODLEY AVE STE 229",
            "address_2": "DEVONWOOD OFFICE PARK",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446951",
            "telephone_number": "818-207-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 WOODLEY AVE STE 229",
            "address_2": "DEVONWOOD OFFICE PARK",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446951",
            "telephone_number": "818-207-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER FLOW RECOVERY PROJECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "PAYZA",
        "authorized_official_first_name": "JIANDAN",
        "authorized_official_middle_name": "JANET",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/FOUNDER",
        "authorized_official_telephone_number": "818-207-0870",
        "authorized_official_credential": "MS, LPC, BC-DMT"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NM",
            "license": "0662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sober Flow",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donald G Sloan, DDS MSD
• Katherine Danielle Smith-White, M.D.
• Samantha Snowden, NBH-WC
• S. Faye Snyder, PSY.D
• Katherine Sobczak
• Jusbinder Kaur Sodhi, R.N
• Kimberly Jennise Solares
• Alexander Soleimani, PHARM D
• Dina Soliman, RPH
• Somagen Healthcare Inc

• All providers in Granada Hills, CA
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.