Sober Life Recovery Center LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SOBER LIFE RECOVERY CENTER LLC

Practice address

321 Northlake Blvd Ste 209
North Palm Beach, FL 33408-5411

Phone

(561) 814-5455

Fax

(561) 814-5429

NPI assigned

Oct 30, 2017

Organization subpart

No

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

Authorized official

Name

Jared Andia

Title

Owner

Phone

(561) 814-5455

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1922510080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 NORTHLAKE BLVD STE 209",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085411",
            "telephone_number": "561-814-5455",
            "fax_number": "561-814-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 NORTHLAKE BLVD STE 209",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085411",
            "telephone_number": "561-814-5455",
            "fax_number": "561-814-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER LIFE RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "ANDIA",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-814-5455"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in North Palm Beach, FL
• Providers in North Palm 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 Dec 20, 2017; 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.