| Sober Life | |
|
208 Cloverbrook Dr Jamestown NC 27282-9616 | |
| (336) 988-9715 | |
| Not Available |
| Full Name | Sober Life |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 208 Cloverbrook Dr, Jamestown, North Carolina |
| Authorized Official Name and Position | Jackie C. Haines (OWNER) |
| Authorized Official Contact | 3369889715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sober Life 208 Cloverbrook Dr Jamestown NC 27282-9616 Ph: (336) 988-9175 | Sober Life 208 Cloverbrook Dr Jamestown NC 27282-9616 Ph: (336) 988-9715 |
| NPI Number | 1326892233 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326892233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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