Organization
SPERO DETOX CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MHER AVETYAN (CEO)
(818) 220-8022
Entity
Organization
Contact information
Practice address
18923 WILLARD ST, RESEDA, CA 91335-1146
(818) 220-8022
Mailing address
18923 WILLARD ST, RESEDA, CA 91335-1146
(818) 220-8022
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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