Organization · Type 2 NPI

Providence Detox

Substance Abuse Rehabilitation Facility · Winnetka, CA

NPI number 1699690560 Active

Practice location

20454 Hemmingway St
Winnetka, CA 91306-2249

Call (818) 940-0308 Map

Fax (310) 758-0982

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 1699690560

Providence Detox's National Provider Identifier is 1699690560, issued on Aug 11, 2026. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Winnetka, CA. The record was last updated on Aug 11, 2026.