NORTHSTAR DETOX & REHAB CENTER LLC NPI 1326669011

NPI Information

NORTHSTAR DETOX & REHAB CENTER, LLC is a substance abuse rehabilitation facility in Tarzana, CA. The provider is 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. NORTHSTAR DETOX & REHAB CENTER, LLC NPI is 1326669011. The provider is registered as an organization entity type.

The provider's business location address is:

19500 WINIFRED ST
TARZANA, CA
ZIP 91356-815
Phone: (818) 928-2042
Fax: (818) 928-2043

The provider's authorized official is Hossein Joukar .
The authorized official title is Medical Director and has the following contact phone number (305) 319-1133.

The CLIA number assigned to this NPI record is 05D2203148 - other - inpatient drug detox with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2020 and was last updated on 9/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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