Organization
28TH STREET DETOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEHAR RYAN (COO)
(754) 368-1285
Entity
Organization
Contact information
Practice address
1119 28TH ST, SAN DIEGO, CA 92102-2203
(754) 368-1285
Mailing address
120 N FEDERAL HWY STE 101, LAKE WORTH, FL 33460-3493
(754) 368-1285
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/21/2023
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