La Detox INC
NPI #1104575349 in Northridge, California
Provider Information
- NPI Number
- 1104575349
- Entity Type
- Organization
- Organization Name
- La Detox INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Mar 23, 2022
- Last Updated
- Mar 23, 2022
Practice Location
- Address
- 19270 CALAHAN ST
- City
- Northridge
- State
- California
- ZIP Code
- 91324-2709
- Phone
- (818) 571-9841
Authorized Official
- Name
- ARTHUR MOGILEVSKI
- Title
- OWNER
- Phone
- (818) 571-9841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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