OrganizationActive
S & T Luxury Sober Living
NPI 1952120347 · Lodging Provider · Stockton, CA
Provider details
- NPI number
- 1952120347
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Shalonda Tillman, President(209) 454-1033
Specialties & taxonomies
Other Service Providers
Practice location
3096 Journey Dr
Stockton, CA 95212-9350
Phone: (209) 454-1033
Approximate (ZIP-level) locationGet directions
Mailing address
3096 Journey Dr
Stockton, CA 95212-9350
Registry dates
- Enumerated
- 2024-10-03
- Last updated
- 2024-10-03
- Certified
- 2024-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.