Healthcare Provider Details

I. General information

NPI: 1063230001
Provider Name (Legal Business Name): PINNACLE DETOX & RECOVERY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 W LEMON AVE
ARCADIA CA
91007-8031
US

IV. Provider business mailing address

202 W LEMON AVE
ARCADIA CA
91007-8031
US

V. Phone/Fax

Practice location:
  • Phone: 747-444-7477
  • Fax:
Mailing address:
  • Phone: 747-444-7477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: FARES HAFFAR
Title or Position: CEO
Credential:
Phone: 747-444-7477