San Diego Detox LLC

NPI #1437806395 in Lakeside, California

Provider Information

NPI Number
1437806395
Entity Type
Organization
Organization Name
San Diego Detox LLC
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Mar 9, 2022
Last Updated
Sep 22, 2022

Practice Location

Address
16916 DEER HILL ESTS
ZIP Code
92040-1101
Phone
(619) 433-4971

Authorized Official

Name
THOMAS HATHORN
Title
OWNER/CEO
Phone
(619) 433-4971

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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