Organization
SIMI VALLEY RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN LENNERT (COO)
(714) 655-0948
Entity
Organization
Contact information
Practice address
3069 CISCO CT, SIMI VALLEY, CA 93063-1809
(714) 655-0948
Mailing address
3069 CISCO CT, SIMI VALLEY, CA 93063-1809
(714) 655-0948
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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