Organization · NPI-2

33rd Street Detox

Substance Abuse Rehabilitation Facility · Los Angeles, CA

NPI number1245922533
StatusActive
Last updated in NPPESJun 22, 2023

Details

NPI
1245922533
Entity type
Organization (NPI-2)
Legal business name
33rd Street Detox
Organization subpart
No
Enumeration date
May 24, 2023
Certification date
Jun 22, 2023
Last updated
Jun 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes
276400000X Rehabilitation, Substance Use Disorder Unit––

Practice location

1018 E 33rd St
Los Angeles, CA 90011-2515

Phone 310-343-8684

Mailing address

1018 E 33rd St
Los Angeles, CA 90011-2515

Other practice locations

1018 1/2 E 33rd St
Los Angeles, CA 90011-2515

Phone 310-343-8684

1020 E 33rd St
Los Angeles, CA 90011-2515

Phone 310-343-8684

1020 1/2 E 33rd St
Los Angeles, CA 90011-2515

Phone 310-343-8684

Authorized official

Nathan Young
Owner
3103438684

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Substance Abuse Rehabilitation Facility providers in Los Angeles, CA