Soul Detox and Recovery
NPI #1114541547 in North Hollywood, California
Provider Information
- NPI Number
- 1114541547
- Entity Type
- Organization
- Organization Name
- Soul Detox and Recovery
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jun 1, 2020
- Last Updated
- Jun 1, 2020
Practice Location
- Address
- 8124 SHADYGLADE AVE
- City
- North Hollywood
- State
- California
- ZIP Code
- 91605-1331
- Phone
- (747) 223-2611
Authorized Official
- Name
- JACLYN CHORBAJIAN
- Title
- CEO
- Phone
- (818) 355-5642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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