Sober Stages Inc. Outpatient Program

LBN: Sober Stages Inc. Outpatient Program
Sober Stages Inc. Outpatient Program is an health care organization with primary practice located at 19562 Ventura Blvd Suite 233, Tarzana CA 91356-2955. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Sober Stages Inc. Outpatient Program can be contacted via phone (310) 810-8216, or through Bivans, Sara via phone (310) 810-8216.

Contact Information

Primary practice address
19562 Ventura Blvd Suite 233 Tarzana CA 91356-2955
Phone: (310) 810-8216
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bivans, Sara PHD
Phone: (310) 810-8216

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X LR1170411 California

Profile Details

NPI number 1497178966
LBN Legal business name Sober Stages Inc. Outpatient Program
DBA Doing business as
Authorized official Bivans, Sara PHD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2014
Last updated Feb 8th, 2024 - about 10 months 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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