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Pat Moore Detox, Llc
Substance Abuse Rehabilitation Facility in Encino, California
NPI 1801291737

Pat Moore Detox, Llc is a Substance Abuse Rehabilitation Facility based in Encino, CA. Pat Moore Detox, Llc practices in Encino, CA. The NPI Number for Pat Moore Detox, Llc is 1801291737 and holds a License No. 190814AP (California).

The current practice location address for Pat Moore Detox, Llc is 4938 Rubio Ave, Encino, CA and can be reached out via phone at 949-646-2630.

Location: 4938 Rubio Ave, Encino, CA, 91436-1121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801291737
Provider Name
Pat Moore Detox, Llc
Credential
Provider Entity Type
Organization
Address
4938 Rubio Ave, Encino, CA, 91436-1121
Phone Number
949-646-2630
Fax Number
Provider Enumeration Date
11/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4938 Rubio Ave
City
Encino
State
California
Zip
91436-1121
Phone Number
949-646-2630
Fax Number
person
Provider Business Mailing Address Details
Address
4938 Rubio Ave
City
Encino
State
California
Zip
91436-1121
Phone Number
949-646-2630
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
190814AP (California)
Definition
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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