Individual provider · Type 1 NPI

Jacob Souza

Substance Abuse Rehabilitation Facility · Long Beach, CA

NPI number 1902334360 Active

Practice location

4340 Maury Ave
Long Beach, CA 90807-2537

Call (562) 270-6344 Map

Mailing address

19072 Lindsay Ln
Huntington Beach, CA 92646-2224

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 1902334360

Jacob Souza's National Provider Identifier is 1902334360, issued on May 30, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Long Beach, CA. The record was last updated on May 30, 2017.