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

Palm Detox, Inc

Organization Substance Abuse Rehabilitation Facility · NPI 1558872614

Palm Detox, Inc is a Substance Abuse Rehabilitation Facility in LA Mesa, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5455 Connecticut Ave
LA Mesa, CA 91942-1215
Phone: (855) 494-5796
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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 (CA)

Record details

NPI number1558872614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Niznik — Ceo · (855) 494-5796
Other names Palm Detox, Inc; Paradise Detox, Inc
NPI enumeratedOctober 17, 2017
Last updated in NPPESMay 29, 2020
Certification dateMay 29, 2020
Mailing address1515 Nw 167th St Ste 300, Miami Gardens, FL 33169-5106

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