Organization · Type 2 NPI
Paonessas' Sober Living
Supports Brokerage Agency · Clearlake, CA
Practice location
3600 Pomo Rd
Clearlake, CA 95422-8004
Fax (707) 987-7613
Mailing address
3549 Ciwa St
Clearlake, CA 95422-8236
Other practice locations
- 4466 Cedar Ave, Clearlake, CA 95422-7991 · (707) 245-7613
- 4334 Oak Ave, Clearlake, CA 95422-7501 · (707) 245-7613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Supports Brokerage Agency Primary | 251X00000X | None listed |
| Respite Care | 385H00000X | None listed |
Supports Brokerage Agency: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and …
About NPI 1003600271
Paonessas' Sober Living's National Provider Identifier is 1003600271, issued on Apr 4, 2025. The primary taxonomy on file is Supports Brokerage Agency (251X00000X), and the practice location is in Clearlake, CA. The record was last updated on Oct 7, 2026.