Organization
VITA BEHAVIORAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL AVAKYAN (OWNER)
(747) 998-5627
Entity
Organization
Contact information
Practice address
14000 VALERIO ST, VAN NUYS, CA 91405-2533
(747) 998-5627
(818) 475-1799
Mailing address
14000 VALERIO ST, VAN NUYS, CA 91405-2533
(747) 998-5627
(818) 475-1799
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190789AP
DEPARTMENT OF HEALTH CARE SERVICES
CA
Enumeration date
09/05/2017
Last updated
07/21/2022
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