Pride Detox LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PRIDE DETOX LLC

Practice address

3805 E 15TH St
Long Beach, CA 90804-2944

Phone

(866) 465-6889

Fax

(561) 671-7512

NPI assigned

Aug 18, 2023

Last updated

Aug 18, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donna Weinberger

Title

Ceo

Phone

(561) 460-1318

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1003699380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N D ST",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334601761",
            "telephone_number": "866-465-6889",
            "fax_number": "561-671-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E 15TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042944",
            "telephone_number": "866-465-6889",
            "fax_number": "561-671-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "WEINBERGER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-460-1318"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel M Price
• Stephanie Michelle Price, PT
• Vincent Price, MSW/ASW
• Priceless Investors (Priceless Econmic Development Services)
• Marvin C Prichard, M.D.
• Douglas Wayne Priestley, M.D.
• Jessica Prieto
• Laura Prieto
• Primary Access Medical Group, Inc
• Prime RX, Inc.

• Substance Abuse Rehabilitation Facility in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.