Organization · Type 2 NPI
Immanuel Sobriety Inc.
Substance Abuse Rehabilitation Facility · Moreno Valley, CA
NPI number
1467096818
Active
Practice location
13921 Courage St
Moreno Valley, CA 92553-8757
Mailing address
PO Box 10271
Moreno Valley, CA 92552-0271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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About NPI 1467096818
Immanuel Sobriety Inc.'s National Provider Identifier is 1467096818, issued on Oct 29, 2019. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Moreno Valley, CA. The record was last updated on Dec 4, 2024.