Organization
22703 SYLVAN STREET DETOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KEANE (COO)
(424) 229-2061
Entity
Organization
Contact information
Practice address
22703 SYLVAN ST, WOODLAND HILLS, CA 91367-1625
(828) 367-8727
Mailing address
22703 SYLVAN ST, WOODLAND HILLS, CA 91367-1625
(424) 229-2061
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
05/11/2023
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