Broadway Detox Center Llc

LBN: Broadway Detox Center Llc
Broadway Detox Center Llc is an health care organization with primary practice located at 6021 Jade Cir , Huntington Beach CA 92647-2246. 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. Broadway Detox Center Llc can be contacted via phone (714) 655-0948, or through Lennert, Shaun via phone (714) 655-0948.

Contact Information

Primary practice address
6021 Jade Cir Huntington Beach CA 92647-2246
Phone: (714) 655-0948
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lennert, Shaun
Phone: (714) 655-0948

Health care specialties

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

Profile Details

NPI number 1831554674
LBN Legal business name Broadway Detox Center Llc
DBA Doing business as
Authorized official Lennert, Shaun
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2015
Last updated Dec 21st, 2015 - about 9 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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