| NPI | 1154906220 |
|---|---|
| Doing Business As | DETOX LA |
| Entity Type | Organization |
| Authorized Contact | YOSEF GROSSMAN CEO 310-795-0542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2023-08-31 |