Organization
LA DETOX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR MOGILEVSKI (OWNER)
(818) 571-9841
Entity
Organization
Contact information
Practice address
19270 CALAHAN ST, NORTHRIDGE, CA 91324-2709
(818) 571-9841
Mailing address
19270 CALAHAN ST, NORTHRIDGE, CA 91324-2709
(760) 859-3677
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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