California Detox LLC
NPI #1730915695 in Villa Park, California
Provider Information
- NPI Number
- 1730915695
- Entity Type
- Organization
- Organization Name
- California Detox LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Sep 9, 2024
- Last Updated
- Sep 9, 2024
Practice Location
- Address
- 17841 LINCOLN ST
- City
- Villa Park
- State
- California
- ZIP Code
- 92861-6370
- Phone
- (949) 742-0172
Authorized Official
- Name
- REESE A MORGAN
- Title
- CEO
- Phone
- (949) 742-0172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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