BROADWAY DETOX CENTER LLC NPI 1831554674

NPI Information

BROADWAY DETOX CENTER LLC is a substance abuse rehabilitation facility in Huntington Beach, 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. BROADWAY DETOX CENTER LLC NPI is 1831554674. The provider is registered as an organization entity type.

The provider's business location address is:

6021 JADE CIR
HUNTINGTON BEACH, CA
ZIP 92647-246
Phone: (714) 655-0948

The provider's authorized official is Shaun Lennert .
The authorized official title is Chief Operations Officer and has the following contact phone number (714) 655-0948.

The enumeration date for this NPI number is 12/21/2015 and was last updated on 12/21/2015.

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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