| NPI | 1376339630 |
|---|---|
| Doing Business As | DETOXERY REHAB CENTER |
| Entity Type | Organization |
| Authorized Contact | SHANT AGADJANIAN CFO 626-437-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |