Organization · Type 2 NPI

Breakaway Detox Centers

Substance Abuse Rehabilitation Facility · Fountain Valley, CA

NPI number 1639751373 Active

Practice location

18779 Palm St
Fountain Valley, CA 92708-6428

Call (714) 916-0219 Map

Fax (714) 369-2577

Mailing address

3151 Airway Ave Ste D1
Costa Mesa, CA 92626-4622

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 1639751373

Breakaway Detox Centers's National Provider Identifier is 1639751373, issued on Apr 22, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fountain Valley, CA. The record was last updated on Apr 22, 2021.