Organization · NPI-2

Advanced Detox And Rehab Center

Substance Abuse Rehabilitation Facility · Northridge, CA

NPI number1912726233
StatusActive
Last updated in NPPESOct 3, 2024

Details

NPI
1912726233
Entity type
Organization (NPI-2)
Legal business name
Advanced Detox And Rehab Center
Organization subpart
No
Enumeration date
Oct 3, 2024
Certification date
Oct 3, 2024
Last updated
Oct 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes

Practice location

19122 Halsted St
Northridge, CA 91324-1716

Phone 350-500-0005

Mailing address

19122 Halsted St
Northridge, CA 91324-1716

Phone 350-500-0005

Authorized official

Narek Khalatyan
Ceo
7728881188

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