4 Season Detox and Recovery House Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

4 SEASON DETOX AND RECOVERY HOUSE INC

Practice address

3174 Evelyn Ave
Simi Valley, CA 93063-1568

Phone

(424) 242-2540

Fax

(661) 296-2836

NPI assigned

Aug 31, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Arsen Saroyan

Title

Secretary

Phone

(818) 813-4363

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1508534934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3174 EVELYN AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930631568",
            "telephone_number": "818-813-4363",
            "fax_number": "424-389-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3174 EVELYN AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930631568",
            "telephone_number": "424-242-2540",
            "fax_number": "661-296-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 SEASON DETOX AND RECOVERY HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "SAROYAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "818-813-4363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Simi Valley, CA
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.