Organization
LIVE WELL RECOVERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMEN ANTONYAN (CEO)
(818) 601-5225
Entity
Organization
Contact information
Practice address
6041 FAIR AVE, NORTH HOLLYWOOD, CA 91606-4230
(818) 601-5225
Mailing address
6041 FAIR AVE, NORTH HOLLYWOOD, CA 91606-4230
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/19/2021
Last updated
06/19/2021
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