Organization
LOS ANGELES DETOX AND TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MESHAWN DAVIS (CHIEF EXECUTIVE OFFICER)
(310) 933-4459
Entity
Organization
Contact information
Practice address
702 W 49TH ST, LOS ANGELES, CA 90037-3324
(213) 332-2428
Mailing address
2316 JEANS CT, SIGNAL HILL, CA 90755-4046
(213) 332-2428
(800) 843-0066
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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