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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
NARINE DA (CEO)
(818) 445-5276
Entity
Organization

Contact information

Practice address
3606 LARIAT WAY, ACTON, CA 93510-1245
(747) 966-7020
Mailing address
3606 LARIAT WAY, ACTON, CA 93510-1245
(747) 966-7020

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
06/14/2024
Last updated
06/14/2024
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