Organization
NORTHSTAR DETOX & REHAB CENTER, LLC
Active
Parent organization
NORHTSTAR DETOX & REHAB CENTER, LLC
Other names
4610 Winnetka
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORHTSTAR DETOX & REHAB CENTER, LLC
Authorized official
HOSSEIN JOUKAR MD (MEDICAL DIRECTOR)
(305) 319-1133
Entity
Organization
Contact information
Practice address
4610 WINNETKA AVE, WOODLAND HILLS, CA 91364-4735
(818) 928-2058
Mailing address
4610 WINNETKA AVE, WOODLAND HILLS, CA 91364-4735
(818) 928-2058
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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