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DAMASCUS ROAD LLC NPI 1154875185


NPI Information

NPI: 1154875185
Provider Name: DAMASCUS ROAD, LLC

Doing Business As: BRIDGES TO LIFE DETOX

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1313 N BROOKHURST ST
ANAHEIM, CA
ZIP 92801
Phone: (559) 601-6065
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DAMASCUS ROAD, LLC is a substance abuse rehabilitation facility in Anaheim, 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. DAMASCUS ROAD, LLC NPI is 1154875185. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridges To Life Detox.

The provider's business location address is:

1313 N BROOKHURST ST
ANAHEIM, CA
ZIP 92801-646
Phone: (559) 601-6065

The provider's authorized official is Kelly Smith .
The authorized official title is Office Coordinator and has the following contact phone number (559) 601-6065.

The enumeration date for this NPI number is 8/8/2016 and was last updated on 7/21/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility300656APCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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