Provider Demographics
NPI:1083586523
Name:SOBER LIFE RECOVERY SOLUTIONS LLC
Entity type:Organization
Organization Name:SOBER LIFE RECOVERY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMARO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP-PMHNP
Authorized Official - Phone:619-542-9542
Mailing Address - Street 1:8619 JACKIE DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-1414
Mailing Address - Country:US
Mailing Address - Phone:619-542-9542
Mailing Address - Fax:619-566-4979
Practice Address - Street 1:8619 JACKIE DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119-1414
Practice Address - Country:US
Practice Address - Phone:619-542-9542
Practice Address - Fax:619-566-4979
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOBER LIFE RECOVERY SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder