Organization
VICTORIAS HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENEVIEVE MINELIAN (CEO DIRECTOR OF OPERATIONS)
(310) 447-1335
Entity
Organization
Contact information
Practice address
1813 12TH ST, UNIT A, SANTA MONICA, CA 90404-4637
(310) 447-1335
Mailing address
1813 12TH STREET, UNIT A, SANTA MONICA, CA 90404
(310) 447-1335
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190955AP
CA
Other
Enumeration date
12/11/2016
Last updated
12/11/2016
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