| Sd Sober Living Llc | |
|
10320 Prospect Ave Santee CA 92071-4415 | |
| (619) 625-0769 | |
| Not Available |
| Full Name | Sd Sober Living Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10320 Prospect Ave, Santee, California |
| Authorized Official Name and Position | Nicholas Deren (OWNER/CEO) |
| Authorized Official Contact | 6196250769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sd Sober Living Llc 1356 Peppervilla Dr El Cajon CA 92021-1212 Ph: (619) 625-0769 | Sd Sober Living Llc 10320 Prospect Ave Santee CA 92071-4415 Ph: (619) 625-0769 |
| NPI Number | 1871445817 |
|---|---|
| Provider Enumeration Date | 02/12/2026 |
| Last Update Date | 02/12/2026 |
| Certification Date | 02/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871445817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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