Invicta Therapy
Clinic/Center, Rehabilitation, Substance Use Disorder in Altadena, CA. Organization (NPI-2).
NPI number1194358978
StatusActive
Last updated in NPPESMar 28, 2022
Details
- NPI
- 1194358978
- Entity type
- Organization (NPI-2)
- Legal business name
- Invicta Therapy
- Organization subpart
- No
- Enumeration date
- Feb 19, 2020
- Certification date
- Mar 28, 2022
- Last updated
- Mar 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Other names
- Invicta Recovery Center (Doing Business As)
Practice location
2235 Lake Ave Ste 110Altadena, CA 91001-6002
Phone 626-786-4864
Mailing address
2235 Lake Ave Ste 110Altadena, CA 91001-6002
Phone 626-786-4864
Authorized official
Arman Ter-Grigoryan
President
6267864864
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