Organization
DETOXERY
Active
Other names
Detoxery Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHANT AGADJANIAN (CFO)
(626) 437-0500
Entity
Organization
Contact information
Practice address
3147 E SIERRA MADRE BLVD, PASADENA, CA 91107-2037
(626) 437-0500
Mailing address
3147 E SIERRA MADRE BLVD, PASADENA, CA 91107-2037
(626) 437-0500
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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