28TH STREET DETOX LLC is a substance abuse rehabilitation facility in San Diego, 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. 28TH STREET DETOX LLC NPI is 1134826688. The provider is registered as an organization entity type.
The provider's business location address is:
1119 28TH ST
SAN DIEGO, CA
ZIP 92102-203
Phone: (754) 368-1285
The provider's authorized official is Sehar Ryan .
The authorized official title is Coo and has the following contact phone number (754) 368-1285.
The CLIA number assigned to this NPI record is 05D2287029 - other - drug & alco with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/14/2023 and was last updated on 2/21/2023.