SOUL DETOX AND RECOVERY NPI 1114541547

NPI Information

SOUL DETOX AND RECOVERY is a substance abuse rehabilitation facility in North Hollywood, CA. The provider is 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. SOUL DETOX AND RECOVERY NPI is 1114541547. The provider is registered as an organization entity type.

The provider's business location address is:

8124 SHADYGLADE AVE
NORTH HOLLYWOOD, CA
ZIP 91605-331
Phone: (747) 223-2611

The provider's authorized official is Jaclyn Chorbajian .
The authorized official title is Ceo and has the following contact phone number (818) 355-5642.

The enumeration date for this NPI number is 6/1/2020 and was last updated on 6/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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