Organization
ADVANCED DETOX AND REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAREK KHALATYAN (CEO)
(772) 888-1188
Entity
Organization
Contact information
Practice address
19122 HALSTED ST, NORTHRIDGE, CA 91324-1716
(350) 500-0005
Mailing address
19122 HALSTED ST, NORTHRIDGE, CA 91324-1716
(350) 500-0005
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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