Provider Demographics
NPI:1588543391
Name:LIT SOBER LIVING AND TRANSFORMATION CENTER LLC
Entity type:Organization
Organization Name:LIT SOBER LIVING AND TRANSFORMATION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEGGER
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-538-0251
Mailing Address - Street 1:2072 N MARKS AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-6512
Mailing Address - Country:US
Mailing Address - Phone:559-538-0251
Mailing Address - Fax:
Practice Address - Street 1:4753 E OLIVE AVE STE 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93702-1763
Practice Address - Country:US
Practice Address - Phone:559-538-0251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility