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Lake Street Detox Llc
Substance Abuse Rehabilitation Facility in Huntington Beach, California
NPI 1891202982

Lake Street Detox Llc is a Substance Abuse Rehabilitation Facility based in Huntington Beach, CA. Lake Street Detox Llc practices in Huntington Beach, CA. The NPI Number for Lake Street Detox Llc is 1891202982 and holds a License No. (California).

The current practice location address for Lake Street Detox Llc is 402 Lake St, Huntington Beach, CA and can be reached out via phone at 877-699-8511 and via fax at 949-209-2677.

Location: 402 Lake St, Huntington Beach, CA, 92648-5928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891202982
Provider Name
Lake Street Detox Llc
Credential
Provider Entity Type
Organization
Address
402 Lake St, Huntington Beach, CA, 92648-5928
Phone Number
877-699-8511
Fax Number
949-209-2677
Provider Enumeration Date
01/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
402 Lake St
City
Huntington Beach
State
California
Zip
92648-5928
Phone Number
877-699-8511
Fax Number
949-209-2677
person
Provider Business Mailing Address Details
Address
402 Lake St
City
Huntington Beach
State
California
Zip
92648-5928
Phone Number
877-699-8511
Fax Number
949-209-2677
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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