MARIPOSA DETOX CENTER II LLC
NPI 1235896879
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Active since November 18, 2021
739 N MARIPOSA AVE, LOS ANGELES, CA 90029(855) 740-1181 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Substance Abuse Rehabilitation Facility

About MARIPOSA DETOX CENTER II LLC

This page provides the complete NPI Profile along with additional information for Mariposa Detox Center Ii Llc, a provider established in Los Angeles, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1235896879 assigned on November 2021. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Brandan Freeman (Ceo)

NPI
1235896879 Verify this NPI
Provider Name
MARIPOSA DETOX CENTER II LLC
Entity Type
Organization
Location Address
739 N MARIPOSA AVE LOS ANGELES, CA 90029
Location Phone
(855) 740-1181
Mailing Address
739 N MARIPOSA AVE LOS ANGELES, CA 90029
Mailing Phone
(855) 740-1181
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2021
Last Update Date
11-18-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. BRANDAN FREEMAN

Authorized Official Title
CEO
Authorized Official Phone
(855) 740-1181

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235896879, enumerated as an "organization" on November 18, 2021.

The provider is located at 739 N MARIPOSA AVE LOS ANGELES, CA 90029 and the phone number is (855) 740-1181.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.