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1780045302
SG DETOX 5156 LLC
WOODLAND HILLS, CA
NPI
1780045302
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Entity Type
Organization
Authorized Contact
ADAM TELANOFF
CEO
424-272-1860
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2016-03-09
Last Update Date
2016-03-09
Business Address
SG DETOX 5156 LLC
5156 BASCULE AVE
WOODLAND HILLS, CA 91364-3447
Phone number: 818-456-4658
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Mailing Address
SG DETOX 5156 LLC
2640 LINCOLN BLVD #8
SANTA MONICA, CA 90405-4620
Phone number: 424-272-1860
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