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28th Street Detox Llc
Substance Abuse Rehabilitation Facility in San Diego, California
NPI 1134826688

28th Street Detox Llc is a Substance Abuse Rehabilitation Facility based in Lake Worth, CA. 28th Street Detox Llc practices in San Diego, CA. The NPI Number for 28th Street Detox Llc is 1134826688 and holds a License No. (California).

The current practice location address for 28th Street Detox Llc is 1119 28Th St, San Diego, CA and can be reached out via phone at 754-368-1285.

Location: 1119 28Th St, San Diego, CA, 33460-3493
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134826688
Provider Name
28th Street Detox Llc
Credential
Provider Entity Type
Organization
Address
1119 28Th St, San Diego, CA, 33460-3493
Phone Number
754-368-1285
Fax Number
Provider Enumeration Date
02/14/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1119 28Th St
City
San Diego
State
California
Zip
92102-2203
Phone Number
754-368-1285
Fax Number
person
Provider Business Mailing Address Details
Address
1119 28Th St
City
San Diego
State
California
Zip
92102-2203
Phone Number
754-368-1285
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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