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Organization

SANTA MONICA DETOX

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATHAN YOUNG (MANAGER)
(310) 343-8684
Entity
Organization

Contact information

Practice address
729 17TH ST, SANTA MONICA, CA 90402-3011
(310) 343-8684
Mailing address
729 17TH ST, SANTA MONICA, CA 90402-3011

Taxonomy

Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
01/11/2024
Last updated
02/12/2024
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