Organization · Type 2 NPI
Elite Detox LLC
Substance Use Disorder Rehabilitation Clinic/Center · Pine Mountain Club, CA
NPI number
1366296576
Active
Practice location
1301 Zermatt Ct
Pine Mountain Club, CA 93222
Mailing address
23670 Park Andorra
Calabasas, CA 91302-1760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1366296576
Elite Detox LLC's National Provider Identifier is 1366296576, issued on Apr 15, 2024. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Pine Mountain Club, CA. The record was last updated on Apr 15, 2024.