Organization
RENAISSANCE DETOX CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIT HAKOBYAN (PRESIDENT/CEO)
(310) 666-2392
Entity
Organization
Contact information
Practice address
9240 VANALDEN AVE, NORTHRIDGE, CA 91324-2750
(310) 666-2392
Mailing address
9240 VANALDEN AVE, NORTHRIDGE, CA 91324-2750
(310) 666-2392
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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