Pure Addiction Treatment
Substance Abuse Rehabilitation Facility in Sherwood Forest, CA. Organization (NPI-2).
NPI number1760257646
StatusActive
Last updated in NPPESNov 20, 2023
Details
- NPI
- 1760257646
- Entity type
- Organization (NPI-2)
- Legal business name
- Pure Addiction Treatment
- Organization subpart
- No
- Enumeration date
- Nov 20, 2023
- Certification date
- Nov 20, 2023
- Last updated
- Nov 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Practice location
18016 Raymer StSherwood Forest, CA 91325-3160
Phone 225-500-0300
Mailing address
18016 Raymer StSherwood Forest, CA 91325-3160
Phone 225-500-0300
Authorized official
David Adibekyan
Ceo
2255000300
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