CITY OF LAREDO DETOX CENTER – NPI #1952174419
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

CITY OF LAREDO DETOX CENTER is a substance abuse rehabilitation facility located in LAREDO, TX. NPPES has assigned the NPI number 1952174419 to CITY OF LAREDO DETOX CENTER on November 06, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CITY OF LAREDO DETOX CENTER” is a dba name, the actual legal business name for this organization is CITY OF LAREDO. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Jun 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CITY OF LAREDO DETOX CENTER below.

NPI Profile for
CITY OF LAREDO

NPI Number
1952174419
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CITY OF LAREDO
Doing Business As (dba): CITY OF LAREDO DETOX CENTER
Other name(s)
All associated names:
Doing Business As (dba)
CITY OF LAREDO DETOX CENTER
Doing Business As (dba)
ROOTS Recovery Center
Primary location
1300 CHICAGO ST.
SUITE 101
LAREDO, TX 78040
Phone: (956) 679-2826 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - CITY OF LAREDO DETOX CENTER is subpart of another organization.
Authorized Official
SAN JUANA MARTINEZ
DETOXIFICATION DIRECTOR
Phone: (956) 679-2826
Updated
Certification Date
Jun 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
261QM1300X
- Clinic/Center / Multi-Specialty

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.