PAT MOORE DETOX, LLC
NPI 1801291737
Substance Abuse Rehabilitation Facility in Encino, CA
- Organization
- Substance Abuse Rehabilitation Facility
About PAT MOORE DETOX, LLC
This page provides the complete NPI Profile along with additional information for Pat Moore Detox, Llc, a provider established in Encino, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1801291737 assigned on November 2014. The practitioner's primary taxonomy code is 324500000X with license number 190814AP (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Arel Meister-aldama (Board Director)
- NPI
- 1801291737 Verify this NPI
- Provider Name
- PAT MOORE DETOX, LLC
- Entity Type
- Organization
- Location Address
- 4938 RUBIO AVE ENCINO, CA 91436
- Location Phone
- (949) 646-2630
- Mailing Address
- 4938 RUBIO AVE ENCINO, CA 91436
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-04-2014
- Last Update Date
- 11-04-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 190814AP
- License State
- CA
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801291737, enumerated as an "organization" on November 04, 2014.
The provider is located at 4938 RUBIO AVE ENCINO, CA 91436 and the phone number is (949) 646-2630.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
