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Breakaway Detox Centers
Substance Abuse Rehabilitation Facility in Fountain Valley, California
NPI 1639751373

Breakaway Detox Centers is a Substance Abuse Rehabilitation Facility based in Costa Mesa, CA. Breakaway Detox Centers practices in Fountain Valley, CA. The NPI Number for Breakaway Detox Centers is 1639751373 and holds a License No. (California).

The current practice location address for Breakaway Detox Centers is 18779 Palm St, Fountain Valley, CA and can be reached out via phone at 714-916-0219 and via fax at 714-369-2577.

Location: 18779 Palm St, Fountain Valley, CA, 92626-4622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639751373
Provider Name
Breakaway Detox Centers
Credential
Provider Entity Type
Organization
Address
18779 Palm St, Fountain Valley, CA, 92626-4622
Phone Number
714-916-0219
Fax Number
714-369-2577
Provider Enumeration Date
04/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18779 Palm St
City
Fountain Valley
State
California
Zip
92708-6428
Phone Number
714-916-0219
Fax Number
714-369-2577
person
Provider Business Mailing Address Details
Address
18779 Palm St
City
Fountain Valley
State
California
Zip
92708-6428
Phone Number
714-916-0219
Fax Number
714-369-2577
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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