# EXPERIENCE MENTAL AND BEHAVIORAL HEALTH, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235952649
- **Authorized official:** DR. ADNAN ELIAS KHOURY MD (PSYCHIATRIST/PRESIDENT/CEO)
- **Authorized official phone:** (818) 421-4871

## Contact information

- **Practice address:** 12130 VICTORY BLVD, SUITE A, NORTH HOLLYWOOD, CA 91606
- **Practice address phone:** (888) 264-6168
- **Mailing address:** 12130 VICTORY BLVD, SUITE A, NORTH HOLLYWOOD, CA 91606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2024
- **Last updated:** 11/04/2024