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Pride Detox Llc
Substance Abuse Rehabilitation Facility in Long Beach, California
NPI 1003699380

Pride Detox Llc is a Substance Abuse Rehabilitation Facility based in Lake Worth Beach, CA. Pride Detox Llc practices in Long Beach, CA. The NPI Number for Pride Detox Llc is 1003699380 and holds a License No. (California).

The current practice location address for Pride Detox Llc is 3805 E 15Th St, Long Beach, CA and can be reached out via phone at 866-465-6889 and via fax at 561-671-7512.

Location: 3805 E 15Th St, Long Beach, CA, 33460-1761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003699380
Provider Name
Pride Detox Llc
Credential
Provider Entity Type
Organization
Address
3805 E 15Th St, Long Beach, CA, 33460-1761
Phone Number
866-465-6889
Fax Number
561-671-7512
Provider Enumeration Date
08/18/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3805 E 15Th St
City
Long Beach
State
California
Zip
90804-2944
Phone Number
866-465-6889
Fax Number
561-671-7512
person
Provider Business Mailing Address Details
Address
3805 E 15Th St
City
Long Beach
State
California
Zip
90804-2944
Phone Number
866-465-6889
Fax Number
561-671-7512
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
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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