Lake Street Detox LLC
Lake Street Detox LLC is a Substance Abuse Rehabilitation Facility in Huntington Beach, California. Registered with an NPI since 2018.
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
402 Lake StHuntington Beach, CA 92648-5928
Phone: (877) 699-8511
Fax: (949) 209-2677
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1891202982 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eric Niccole — Ceo · (949) 279-1165 |
| NPI enumerated | January 10, 2018 |
| Last updated in NPPES | January 10, 2018 |
| Mailing address | 402 Lake St, Huntington Beach, CA 92648-5928 |
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