NPI: 1194358978
Provider Name: INVICTA THERAPY
Doing Business As: INVICTA RECOVERY CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 05D2277272
Address:
2235 LAKE AVE STE 110
ALTADENA, CA
ZIP 91001
Phone: (626) 786-4864
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INVICTA THERAPY is a rehabilitation and substance use disorder clinic center in Altadena, CA. INVICTA THERAPY NPI is 1194358978. The provider is registered as an organization entity type.
The provider Is Doing Business As Invicta Recovery Center.
The provider's business location address is:
2235 LAKE AVE STE 110
ALTADENA, CA
ZIP 91001-002
Phone: (626) 786-4864
The provider's authorized official is Arman Ter-grigoryan .
The authorized official title is President and has the following contact phone number (626) 786-4864.
The CLIA number assigned to this NPI record is 05D2277272 - independent with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/19/2020 and was last updated on 3/28/2022.