LOS ANGELES DETOX LLC - NPI 1346636537 - Substance Abuse Rehabilitation Facility in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

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About Los Angeles Detox Llc NPPES

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

LOS ANGELES DETOX LLC (NPI 1346636537) is a healthcare organization registered as a substance abuse rehabilitation facility in Los Angeles, California and active in the NPI registry since April 2015. The organization lists Keith Ronald Fowler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346636537

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameLOS ANGELES DETOX LLC

Location Address522 N LARCHMONT BLVDLos Angeles, CA 90004-1306

Mailing Address516 N Larchmont BlvdLos Angeles, CA 90004-1306 · (562) 912-0291

Phone(562) 912-0291

Organization SubpartNo

Authorized OfficialKeith Ronald FowlerCeo · (562) 912-0291

Enumeration DateApril 14, 2015

✔ NPI 1346636537 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.

522 N LARCHMONT BLVD, Los Angeles, CA 90004

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