Organization
LION RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARUTYUN SHIRIKCHYAN (CEO)
(818) 386-8802
Entity
Organization
Contact information
Practice address
14945 BASSETT ST, VAN NUYS, CA 91405-3532
(818) 276-5436
Mailing address
14945 BASSETT ST, VAN NUYS, CA 91405-3532
(818) 276-5436
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
05/06/2021
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