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SOUL DETOX AND RECOVERY
NPI 1114541547
Substance Abuse Rehabilitation Facility in North Hollywood, CA

Active since June 01, 2020
8124 SHADYGLADE AVE, NORTH HOLLYWOOD, CA 91605(747) 223-2611 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soul Detox And Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUL DETOX AND RECOVERY (NPI 1114541547) is a healthcare organization registered as a substance abuse rehabilitation facility in North Hollywood, California and active in the NPI registry since June 2020. The organization lists Jaclyn Chorbajian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114541547
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSOUL DETOX AND RECOVERY
Location Address8124 SHADYGLADE AVENorth Hollywood, CA 91605-1331
Mailing Address11834 Gilmore St Unit 5North Hollywood, CA 91606-2847 · (818) 355-5642
Phone(747) 223-2611
Organization SubpartNo
Authorized OfficialJaclyn ChorbajianCeo · (818) 355-5642
Enumeration DateJune 1, 2020
NPPES CertifiedJune 1, 2020
✔ NPI 1114541547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
8124 SHADYGLADE AVE, North Hollywood, CA 91605
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soul Detox And Recovery's NPI number?

The NPI number for Soul Detox And Recovery is 1114541547. It was assigned to this organization in the NPPES registry on June 1, 2020.

Where is Soul Detox And Recovery located?

Soul Detox And Recovery is located at 8124 Shadyglade Ave, North Hollywood, CA 91605. The listed phone number is (747) 223-2611.

What is Soul Detox And Recovery's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Soul Detox And Recovery was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.