Organization · Type 2 NPI

SG Detox 5156 LLC

Substance Abuse Rehabilitation Facility · Woodland Hills, CA

NPI number 1780045302 Active

Practice location

5156 Bascule Ave
Woodland Hills, CA 91364-3447

Mailing address

2640 Lincoln Blvd, #8
Santa Monica, CA 90405-4620

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 1780045302

SG Detox 5156 LLC's National Provider Identifier is 1780045302, issued on Mar 9, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Woodland Hills, CA. The record was last updated on Mar 9, 2016.