Organization
TRANQUILITY RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARGIS MANUKYAN (CEO)
(747) 444-1404
Entity
Organization
Contact information
Practice address
11310 WENTWORTH ST, SUN VALLEY, CA 91352-1138
(651) 200-0000
Mailing address
11310 WENTWORTH ST, SUN VALLEY, CA 91352-1138
(651) 200-0000
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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