| NPI | 1922445873 |
|---|---|
| Doing Business As | HOLLYWOOD DETOX CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON MONROE Chief Operating Officer 602-550-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190775AP) |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2017-07-28 |