Psychogenesis Detox Center

LBN: Psychogenesis Detox Center
Psychogenesis Detox Center is an health care organization with primary practice located at 3151 Airway Ave Ste C3 , Costa Mesa CA 92626-4622. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Psychogenesis Detox Center can be contacted via phone (949) 769-1372, or through Babai Siahdohoni, Nader via phone (949) 769-1372.

Contact Information

Primary practice address
3151 Airway Ave Ste C3 Costa Mesa CA 92626-4622
Phone: (949) 769-1372
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Babai Siahdohoni, Nader PHD
Phone: (949) 769-1372

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1467217372
LBN Legal business name Psychogenesis Detox Center
DBA Doing business as
Authorized official Babai Siahdohoni, Nader PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 20th, 2024
Last updated Feb 20th, 2024 - about 9 months 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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