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Detox Center Of San Diego Llc
Substance Abuse Rehabilitation Facility in San Diego, California
NPI 1003536830

Detox Center Of San Diego Llc is a Substance Abuse Rehabilitation Facility based in San Diego, CA. Detox Center Of San Diego Llc practices in San Diego, CA. The NPI Number for Detox Center Of San Diego Llc is 1003536830 and holds a License No. (California).

The current practice location address for Detox Center Of San Diego Llc is 2574 Pico Way, San Diego, CA and can be reached out via phone at 949-836-6793.

Location: 2574 Pico Way, San Diego, CA, 92109-3811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003536830
Provider Name
Detox Center Of San Diego Llc
Credential
Provider Entity Type
Organization
Address
2574 Pico Way, San Diego, CA, 92109-3811
Phone Number
949-836-6793
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370207AP 01 CA DHCS
institution
Provider Business Practice Location Address Details
Address
2574 Pico Way
City
San Diego
State
California
Zip
92109-3811
Phone Number
949-836-6793
Fax Number
person
Provider Business Mailing Address Details
Address
2574 Pico Way
City
San Diego
State
California
Zip
92109-3811
Phone Number
949-836-6793
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
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.
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