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Mr. Jacob Souza
Substance Abuse Rehabilitation Facility in Long Beach, California
NPI 1902334360

Jacob Souza is a Substance Abuse Rehabilitation Facility based in Huntington Beach, CA. Jacob Souza practices in Long Beach, CA. The NPI Number for Jacob Souza is 1902334360 and holds a License No. (California).

The current practice location address for Jacob Souza is 4340 Maury Ave, Long Beach, CA and can be reached out via phone at 562-270-6344.

Location: 4340 Maury Ave, Long Beach, CA, 92646-2224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902334360
Provider Name
Jacob Souza
Credential
Provider Entity Type
Individual
Gender
Male
Address
4340 Maury Ave, Long Beach, CA, 92646-2224
Phone Number
562-270-6344
Fax Number
Provider Enumeration Date
05/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4340 Maury Ave
City
Long Beach
State
California
Zip
90807-2537
Phone Number
562-270-6344
Fax Number
person
Provider Business Mailing Address Details
Address
4340 Maury Ave
City
Long Beach
State
California
Zip
90807-2537
Phone Number
562-270-6344
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(California)
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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