911 DETOX CENTER INC. – NPI #1194302109
Substance Abuse Rehabilitation Facility

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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

911 DETOX CENTER INC. is a substance abuse rehabilitation facility located in TARZANA, CA. NPPES has assigned the NPI number 1194302109 to 911 DETOX CENTER INC. on March 25, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 911 DETOX CENTER INC. below.

NPI Profile for
911 DETOX CENTER INC.

NPI Number
1194302109
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
911 DETOX CENTER INC.
Primary location
18233 CLARK ST
TARZANA, CA 91356-3601
Phone: (661) 312-0392 Fax: (661) 296-2836
Mailing address
27116 RIO PRADO DR
VALENCIA, CA 91354-2256
Phone: (818) 415-2610 Fax: (661) 296-2836
Organization Subpart
No
Authorized Official
INESSA NAZARYAN
CEO
Phone: (818) 415-2610
Updated
Certification Date
Mar 24, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.