Organization
D&T WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY RAFAEL MORENO (OWNER)
(323) 420-8025
Entity
Organization
Contact information
Practice address
17633 NORDHOFF ST, NORTHRIDGE, CA 91325-2904
(323) 800-1645
Mailing address
3400 COTTAGE WAY STE G2, SACRAMENTO, CA 95825-1474
(323) 800-1645
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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