| NPI | 1497221394 |
|---|---|
| Former Legal Business Name | AXION DETOX |
| Entity Type | Organization |
| Authorized Contact | BILL DEL RIEGO CEO 310-993-7247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2024-06-18 |