Organization
911 DETOX CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. INESSA NAZARYAN (CEO)
(818) 415-2610
Entity
Organization
Contact information
Practice address
18233 CLARK ST, TARZANA, CA 91356-3601
(661) 312-0392
(661) 296-2836
Mailing address
27116 RIO PRADO DR, VALENCIA, CA 91354-2256
(818) 415-2610
(661) 296-2836
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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