Provider Demographics
NPI:1255111035
Name:SADAG TREATMENT SOLUTIONS LLC
Entity type:Organization
Organization Name:SADAG TREATMENT SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGAMALIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-726-9922
Mailing Address - Street 1:8338 SALE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91304-3339
Mailing Address - Country:US
Mailing Address - Phone:888-413-4466
Mailing Address - Fax:
Practice Address - Street 1:8338 SALE AVE
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-3339
Practice Address - Country:US
Practice Address - Phone:888-413-4466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility