Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

La Detox LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1578103214

La Detox LLC is a Mental Illness Community Based Residential Treatment Facility in Tarzana, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4901 Amigo Ave
Tarzana, CA 91356-4505
Phone: (917) 374-4215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Psychiatric Residential Treatment Facility Taxonomy 323P00000X

Record details

NPI number1578103214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elliott Liebhard — Ceo · (917) 374-4215
NPI enumeratedJanuary 10, 2020
Last updated in NPPESJanuary 10, 2020
Certification dateJanuary 10, 2020
Mailing address4901 Amigo Ave, Tarzana, CA 91356-4505

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