National Provider Identifier Database

1741 HAUSER BLVD DETOX LLC
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

1741 HAUSER BLVD DETOX LLC
1741 HAUSER BLVD
LOS ANGELES, CA90019-5111
Phone: 828-367-8727
Fax: 310-861-1945
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for 1741 HAUSER BLVD DETOX LLC

NPI Number 1780253112
Legal business name
LBN
1741 HAUSER BLVD DETOX LLC
Authorized official DANIEL KEANE - (COO)
Entity Organization
Organization subpart No
Enumeration date 06/21/2021
Last updated 05/11/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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