Organization
2ND CHANCE FOR RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OGANES JOHN HAKOPYAN (PRESIDENT)
(818) 590-0111
Entity
Organization
Contact information
Practice address
600 E 7TH ST # 104-105, LOS ANGELES, CA 90021-1436
(818) 590-0111
(866) 754-1323
Mailing address
22218 CORALBELL LN, WOODLAND HILLS, CA 91367-7211
(818) 590-0111
(866) 754-1323
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7404
—
CA
Enumeration date
06/24/2008
Last updated
04/19/2012
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