4 Season Detox and Recovery House INC
NPI #1508534934 in Simi Valley, California
Provider Information
- NPI Number
- 1508534934
- Entity Type
- Organization
- Organization Name
- 4 Season Detox and Recovery House INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Aug 31, 2021
- Last Updated
- Apr 28, 2023
Practice Location
- Address
- 3174 EVELYN AVE
- City
- Simi Valley
- State
- California
- ZIP Code
- 93063-1568
- Phone
- (424) 242-2540
Authorized Official
- Name
- MR. ARSEN SAROYAN
- Title
- SECRETARY
- Phone
- (818) 813-4363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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| Provider Name | |
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| Shawn Lauritz Miller SR., OWNER |
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| Alta Drive LLC | |
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| Simi Valley Recovery, LLC | |
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