BREAKAWAY DETOX CENTERS NPI 1639751373

NPI Information

BREAKAWAY DETOX CENTERS is a substance abuse rehabilitation facility in Fountain Valley, 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. BREAKAWAY DETOX CENTERS NPI is 1639751373. The provider is registered as an organization entity type.

The provider's business location address is:

18779 PALM ST
FOUNTAIN VALLEY, CA
ZIP 92708-428
Phone: (714) 916-0219
Fax: (714) 369-2577

The provider's authorized official is Richard Plaskett .
The authorized official title is Ceo and has the following contact phone number (714) 957-8229.

The enumeration date for this NPI number is 4/22/2021 and was last updated on 4/22/2021.

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:

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