Organization
DETOUR BEHAVIORAL HEALTH, INC.
Active
Other names
Detour Transitions, Detour Transitions Outpatient Center, Detour's Fresh Start
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CASEY JAMES LOEBS CADC-CAS (CEO)
(626) 802-8287
Entity
Organization
Contact information
Practice address
2677 ZOE AVENUE, SUITE 301, 302, 303B, HUNTINGTON PARK, CA 90255
(323) 372-1281
(323) 372-1282
Mailing address
2542 E FLORENCE AVE STE H, HUNTINGTON PARK, CA 90255-4774
(626) 473-0344
(626) 473-0345
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/25/2021
Last updated
12/18/2023
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