Provider Demographics
NPI:1518788538
Name:CURATIVE DETOX CENTER INC
Entity type:Organization
Organization Name:CURATIVE DETOX CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTOUR
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKAELIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-300-3833
Mailing Address - Street 1:8630 HASKELL AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-5811
Mailing Address - Country:US
Mailing Address - Phone:310-300-3833
Mailing Address - Fax:
Practice Address - Street 1:8630 HASKELL AVE
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-5811
Practice Address - Country:US
Practice Address - Phone:310-300-3833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder