THURSTON DETOX LLC NPI 1972172310

NPI Information

THURSTON DETOX 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. THURSTON DETOX LLC NPI is 1972172310. The provider is registered as an organization entity type.

The provider's business location address is:

11346 THURSTON PL
LOS ANGELES, CA
ZIP 90049-429
Phone: (828) 367-8727
Fax: (310) 861-1945

The provider's authorized official is Daniel Keane .
The authorized official title is Coo and has the following contact phone number (828) 367-8727.

The enumeration date for this NPI number is 6/21/2021 and was last updated on 3/13/2022.

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:

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