Provider Demographics
NPI:1285108555
Name:SL HOBSON ENTERPRISES LLC
Entity type:Organization
Organization Name:SL HOBSON ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LA SHARN
Authorized Official - Last Name:HOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, PHD, CADC,
Authorized Official - Phone:909-520-0858
Mailing Address - Street 1:5394 SIERRA RD
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-3241
Mailing Address - Country:US
Mailing Address - Phone:909-446-2703
Mailing Address - Fax:909-890-2402
Practice Address - Street 1:445 S ARROWHEAD AVE STE C
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-1335
Practice Address - Country:US
Practice Address - Phone:909-446-2703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SL HOBSON ENTERPRISES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-19
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty