Organization · Type 2 NPI

Pacific Coast Detox LLC

Substance Abuse Rehabilitation Facility · Encinitas, CA

NPI number 1063375129 Active

Practice location

136 E Jason St
Encinitas, CA 92024-1671

Mailing address

21263 Doubtful Canyon Dr
Cypress, TX 77433-8470

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: 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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About NPI 1063375129

Pacific Coast Detox LLC's National Provider Identifier is 1063375129, issued on Dec 5, 2025. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Encinitas, CA. The record was last updated on Nov 2, 2026.