PURE ADDICTION TREATMENT NPI 1760257646

NPI Information

  • NPI: 1760257646
  • Provider Name: PURE ADDICTION TREATMENT
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 05D2308238
  • Address: 18016 RAYMER ST
    SHERWOOD FOREST, CA
    ZIP 91325
  • Phone: (225) 500-0300

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NPI Details

PURE ADDICTION TREATMENT is a substance abuse rehabilitation facility in Sherwood Forest, 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. PURE ADDICTION TREATMENT NPI is 1760257646. The provider is registered as an organization entity type.

The provider's business location address is:

18016 RAYMER ST
SHERWOOD FOREST, CA
ZIP 91325-160
Phone: (225) 500-0300

The provider's authorized official is David Adibekyan .
The authorized official title is Ceo and has the following contact phone number (225) 500-0300.

The CLIA number assigned to this NPI record is 05D2308238 - other - drug and alcohol treament with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2023 and was last updated on 11/20/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance 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: 11/21/2025

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