Organization
ELITE DETOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARUS GYULBUDAGYAN (CEO)
(806) 808-0008
Entity
Organization
Contact information
Practice address
1301 ZERMATT CT, PINE MOUNTAIN CLUB, CA 93222
(806) 808-0008
Mailing address
23670 PARK ANDORRA, CALABASAS, CA 91302-1760
(806) 808-0008
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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