Soba Recovery Center

LBN: Soba Texas Llc
Soba Recovery Center is an health care organization with primary practice located at 1401 Dezarae Lot 3 , San Antonio TX 78253-5986. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Soba Texas Llc can be contacted via phone (210) 530-4167, or through Graham, Audrey via phone (310) 457-5250.

Contact Information

Primary practice address
1401 Dezarae Lot 3 San Antonio TX 78253-5986
Phone: (210) 530-4167
Fax: (310) 919-0319
Website:
Map and Directions
Authorized official contact:
Name: Graham, Audrey
Phone: (310) 457-5250

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1831520360
LBN Legal business name Soba Texas Llc
DBA Doing business as Soba Recovery Center
Authorized official Graham, Audrey
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2013
Last updated Mar 28th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831520360 NPPES
Texas Other 45D2067229 CMS CLIA

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