Provider Demographics
NPI:1598507873
Name:SOBER SOCIETY
Entity type:Organization
Organization Name:SOBER SOCIETY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JURAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-310-5162
Mailing Address - Street 1:608 53RD ST E APT 201
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-7122
Mailing Address - Country:US
Mailing Address - Phone:701-310-5162
Mailing Address - Fax:
Practice Address - Street 1:608 53RD ST E APT 201
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-7122
Practice Address - Country:US
Practice Address - Phone:701-310-5162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable