Organization · Type 2 NPI
28th Street Detox LLC
Substance Abuse Rehabilitation Facility · San Diego, CA
NPI number
1134826688
Active
Practice location
1119 28th St
San Diego, CA 92102-2203
Mailing address
120 N Federal Hwy Ste 101
Lake Worth, FL 33460-3493
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 1134826688
28th Street Detox LLC's National Provider Identifier is 1134826688, issued on Feb 14, 2023. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in San Diego, CA. The record was last updated on Feb 21, 2023.