Organization
PRIDE DETOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA WEINBERGER (CEO)
(561) 460-1318
Entity
Organization
Contact information
Practice address
3805 E 15TH ST, LONG BEACH, CA 90804-2944
(866) 465-6889
(561) 671-7512
Mailing address
1414 N D ST, LAKE WORTH BEACH, FL 33460-1761
(866) 465-6889
(561) 671-7512
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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