Organization
1741 HAUSER BLVD DETOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL KEANE (COO)
(424) 229-2061
Entity
Organization
Contact information
Practice address
1741 HAUSER BLVD, LOS ANGELES, CA 90019-5111
(828) 367-8727
(310) 861-1945
Mailing address
1741 HAUSER BLVD, LOS ANGELES, CA 90019-5111
(424) 229-2061
(310) 861-1945
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
05/11/2023
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