institution
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
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
State
Zip
92648-5928
Phone Number
877-699-8511
Fax Number
949-209-2677
person
Provider Business Mailing Address Details
Address
402 Lake St
City
State
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
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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