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La Detox Llc
Substance Abuse Rehabilitation Facility in Tarzana, California
NPI 1578103214

La Detox Llc is a Substance Abuse Rehabilitation Facility based in Tarzana, CA. La Detox Llc practices in Tarzana, CA. The NPI Number for La Detox Llc is 1578103214 and holds a License No. (California).

The current practice location address for La Detox Llc is 4901 Amigo Ave, Tarzana, CA and can be reached out via phone at 917-374-4215.

Location: 4901 Amigo Ave, Tarzana, CA, 91356-4505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578103214
Provider Name
La Detox Llc
Credential
Provider Entity Type
Organization
Address
4901 Amigo Ave, Tarzana, CA, 91356-4505
Phone Number
917-374-4215
Fax Number
Provider Enumeration Date
01/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4901 Amigo Ave
City
Tarzana
State
California
Zip
91356-4505
Phone Number
917-374-4215
Fax Number
person
Provider Business Mailing Address Details
Address
4901 Amigo Ave
City
Tarzana
State
California
Zip
91356-4505
Phone Number
917-374-4215
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
323P00000X
License No.
()
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
person
Provider's Taxonomy Details 3
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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