Organization
BREAKAWAY DETOX CENTERS
Active
Parent organization
BREAKAWAY HEALTH CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
BREAKAWAY HEALTH CORPORATION
Authorized official
RICHARD PLASKETT (CEO)
(714) 957-8229
Entity
Organization
Contact information
Practice address
18779 PALM ST, FOUNTAIN VALLEY, CA 92708-6428
(714) 916-0219
(714) 369-2577
Mailing address
3151 AIRWAY AVE STE D1, COSTA MESA, CA 92626-4622
(714) 957-8229
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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