Organization
ASA DETOX CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OGANES NARDOS (ADMINISTRATOR)
(818) 415-6323
Entity
Organization
Contact information
Practice address
2070 W MOUNTAIN ST, GLENDALE, CA 91201-1261
(747) 316-0000
Mailing address
2070 W MOUNTAIN ST, GLENDALE, CA 91201-1261
(747) 316-0000
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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