<Unavail>

LBN: Palm Detox, Inc
<Unavail> is an health care organization with primary practice located at 5455 Connecticut Ave , La Mesa CA 91942-1215. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Palm Detox, Inc can be contacted via phone (855) 494-5796, or through Niznik, Robert via phone (855) 494-5796.

Contact Information

Primary practice address
5455 Connecticut Ave La Mesa CA 91942-1215
Phone: (855) 494-5796
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Niznik, Robert
Phone: (855) 494-5796

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X California

Profile Details

NPI number 1558872614
LBN Legal business name Palm Detox, Inc
DBA Doing business as <Unavail>
Authorized official Niznik, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2017
Last updated May 29th, 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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