Organization
MOMENTUM DETOX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SAMSON (CEO)
(949) 603-0989
Entity
Organization
Contact information
Practice address
17952 BARON CIR APT 4, HUNTINGTON BEACH, CA 92647-7153
(213) 800-5711
Mailing address
17952 BARON CIR APT 4, HUNTINGTON BEACH, CA 92647-7153
(213) 800-5711
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
08/14/2024
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