Organization
INDEVO, INC.
Active
Other names
INDEVO Treatment Partners
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHSAN GHARADJEDAGHI PSYD (CEO)
(949) 310-2993
Entity
Organization
Contact information
Practice address
17900 SKY PARK CIR STE 100, IRVINE, CA 92614-6471
(855) 511-0855
Mailing address
17900 SKY PARK CIR STE 100, IRVINE, CA 92614-6471
(855) 511-0855
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
999999
CA
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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