Provider Demographics
NPI:1114686235
Name:DETECTION & TREATMENT RESOURCES, INC
Entity Type:Organization
Organization Name:DETECTION & TREATMENT RESOURCES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR EXECUTIVE OFFICE ADMIN.
Authorized Official - Prefix:MR
Authorized Official - First Name:WOODY
Authorized Official - Middle Name:
Authorized Official - Last Name:OJEDA
Authorized Official - Suffix:
Authorized Official - Credentials:NONE
Authorized Official - Phone:562-285-3190
Mailing Address - Street 1:12440 FIRESTONE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-4340
Mailing Address - Country:US
Mailing Address - Phone:562-285-3190
Mailing Address - Fax:
Practice Address - Street 1:301 N. PRAIRE AVE SUITE #210
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-9030
Practice Address - Country:US
Practice Address - Phone:562-285-3190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty