Organization
KULA DETOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNAN WILSON (PRESIDENT)
(619) 842-2240
Entity
Organization
Contact information
Practice address
4417 CARLING DR, SAN DIEGO, CA 92115-5527
(619) 856-6569
Mailing address
2261 MARKET ST STE 24675, SAN FRANCISCO, CA 94114-1612
(619) 856-6569
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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