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MARIPOSA DETOX CENTER II LLC NPI 1235896879


NPI Information

NPI: 1235896879
Provider Name: MARIPOSA DETOX CENTER II LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
739 N MARIPOSA AVE
LOS ANGELES, CA
ZIP 90029
Phone: (855) 740-1181
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MARIPOSA DETOX CENTER II LLC is a substance abuse rehabilitation facility in Los Angeles, 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. MARIPOSA DETOX CENTER II LLC NPI is 1235896879. The provider is registered as an organization entity type.

The provider's business location address is:

739 N MARIPOSA AVE
LOS ANGELES, CA
ZIP 90029-485
Phone: (855) 740-1181

The provider's authorized official is Brandan Freeman .
The authorized official title is Ceo and has the following contact phone number (855) 740-1181.

The enumeration date for this NPI number is 11/18/2021 and was last updated on 11/18/2021.


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 FacilityYes

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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