La Detox Llc

LBN: La Detox Llc
La Detox Llc is an health care organization with primary practice located at 4901 Amigo Ave , Tarzana CA 91356-4505. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. La Detox Llc can be contacted via phone (917) 374-4215, or through Liebhard, Elliott via phone (917) 374-4215.

Contact Information

Primary practice address
4901 Amigo Ave Tarzana CA 91356-4505
Phone: (917) 374-4215
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Liebhard, Elliott
Phone: (917) 374-4215

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1578103214
LBN Legal business name La Detox Llc
DBA Doing business as
Authorized official Liebhard, Elliott
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2020
Last updated Jan 10th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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