Organization
CIVANA TREATMENT CENTER INC
Active
Other names
Civana Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT POGHOSYAN (PROGRAM DIRECTOR)
(818) 913-5404
Entity
Organization
Contact information
Practice address
14526 ROSCOE BLVD STE 200, PANORAMA CITY, CA 91402-4148
(747) 236-7108
Mailing address
14526 ROSCOE BLVD STE 200, PANORAMA CITY, CA 91402-4148
(747) 236-7108
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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