Organization · Type 2 NPI

Pat Moore Detox, LLC

Substance Abuse Rehabilitation Facility · Encino, CA

NPI number 1801291737 Active

Practice location

4938 Rubio Ave
Encino, CA 91436-1121

Call (949) 646-2630 Map

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X190814AP (CA)

Substance Abuse Rehabilitation Facility: 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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About NPI 1801291737

Pat Moore Detox, LLC's National Provider Identifier is 1801291737, issued on Nov 4, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Encino, CA. The record was last updated on Nov 4, 2014.