Organization
AURA DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANI TADEVOSYAN (CEO)
(818) 579-3143
Entity
Organization
Contact information
Practice address
24628 APPLE ST, NEWHALL, CA 91321-2615
(818) 579-3143
Mailing address
24628 APPLE ST, NEWHALL, CA 91321-2615
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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