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Organization
PATHWAY TO RECOVERY
Active
Organization
PATHWAY TO RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM M NIKOGOSYAN (PROGRAM DIRECTOR)
(818) 441-1049
Entity
Organization
Contact information
Practice address
4350 11TH AVE, LOS ANGELES, CA 90008-5205
(323) 292-2898
(323) 596-3146
Mailing address
4350 11TH AVE, LOS ANGELES, CA 90008-5205
(323) 292-2898
(323) 596-3146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/09/2026
Last updated
09/09/2026
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