Organization
A1 TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED HAIRABIDIAN (CEO)
(818) 482-3272
Entity
Organization
Contact information
Practice address
13604 GAULT ST, VAN NUYS, CA 91405-3408
(818) 482-3272
Mailing address
13604 GAULT ST, VAN NUYS, CA 91405-3408
(818) 482-3272
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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