Organization · Type 2 NPI

Soul Detox and Recovery

Substance Abuse Rehabilitation Facility · North Hollywood, CA

NPI number 1114541547 Active

Practice location

8124 Shadyglade Ave
North Hollywood, CA 91605-1331

Call (747) 223-2611 Map

Mailing address

11834 Gilmore St Unit 5
North Hollywood, CA 91606-2847

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None 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 1114541547

Soul Detox and Recovery's National Provider Identifier is 1114541547, issued on Jun 1, 2020. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in North Hollywood, CA. The record was last updated on Jun 1, 2020.