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ELITE VENTURES INC NPI 1609364769


NPI Information

NPI: 1609364769
Provider Name: ELITE VENTURES INC

Doing Business As: AMBIANCE DETOX AND RECOVERY

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2163791

Address:
13373 WENTWORTH ST
ARLETA, CA
ZIP 91331
Phone: (818) 601-2009
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ELITE VENTURES INC is a substance abuse rehabilitation facility in Arleta, 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. ELITE VENTURES INC NPI is 1609364769. The provider is registered as an organization entity type.
The provider Is Doing Business As Ambiance Detox And Recovery.

The provider's business location address is:

13373 WENTWORTH ST
ARLETA, CA
ZIP 91331-346
Phone: (818) 601-2009

The provider's authorized official is Davit Trashyan .
The authorized official title is Ceo and has the following contact phone number (818) 640-8221.

The CLIA number assigned to this NPI record is 05D2163791 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2018 and was last updated on 11/22/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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