Organization
VIVID RECOVERY, LLC
Active
Other names
Refine Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER CORY RASKOVIC (CEO)
(484) 387-7776
Entity
Organization
Contact information
Practice address
1634 BENEDICT CANYON DR, BEVERLY HILLS, CA 90210-2003
(484) 387-7776
(310) 861-8830
Mailing address
1634 BENEDICT CANYON DR, BEVERLY HILLS, CA 90210-2003
(484) 387-7776
(310) 861-8830
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
05/22/2024
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