National Provider Identifier Database

NOVO DETOX
Substance Abuse Disorder 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.


Contact Information

NOVO DETOX
11346 THURSTON PL
LOS ANGELES, CA90049-2429
Phone: 602-430-7543
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Community Based Residential Treatment Facility, Mental Illness 320800000X
Community/Behavioral Health 251S00000X
Rehabilitation, Substance Use Disorder Unit 276400000X

* Indicates primary specialty

NPI Profile & details for NOVO DETOX

NPI Number 1194242966
Legal business name
LBN
NOVO DETOX
Authorized official MATTHEW ZIERING - (CFO)
Entity Organization
Organization subpart No
Enumeration date 08/23/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Other: 190982AP STATE LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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