Organization
VALLEY DETOX AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB ANDERSON (PROGRAM DIRECTOR)
(213) 503-1495
Entity
Organization
Contact information
Practice address
14000 VALERIO ST, VAN NUYS, CA 91405-2533
(213) 503-1495
Mailing address
14000 VALERIO ST, VAN NUYS, CA 91405-2533
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190872AP
CA
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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