Organization Active NPI

Sober Spaces Assertive Community Treatment Inc.

  • Substance Abuse Rehabilitation Facility
  • Boca Raton, FL
National Provider Identifier
1861161531
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOBER SPACES ASSERTIVE COMMUNITY TREATMENT INC.
Practice address
123 NW 13TH St Ste 209
Boca Raton, FL 33432-1618
Phone
(561) 961-8787
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Mr. Joseph Wylie
Title
Coo
Phone
(561) 416-9711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

123 NW 13TH St Ste 209
Boca Raton, FL 33432-1618

Mailing address

123 NW 13TH St Ste 209
Boca Raton, FL 33432-1618
Phone (561) 961-8787

National Provider Directory

National Provider Directory

Locations

123 NW 13th St
Ste 209
Boca Raton, FL 33432
Phone (561) 961-8787

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1861161531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 NW 13TH ST STE 209",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321618",
            "telephone_number": "561-961-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NW 13TH ST STE 209",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321618",
            "telephone_number": "561-961-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER SPACES ASSERTIVE COMMUNITY TREATMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-416-9711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.