Organization
BELLAIRE RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISHKHAN SHAHAZIYAN (CEO)
(818) 808-0108
Entity
Organization
Contact information
Practice address
6622 BELLAIRE AVE., N HOLLYWOOD, CA 91606
(818) 808-0108
(747) 444-4085
Mailing address
6622 BELLAIRE AVE., N HOLLYWOOD, CA 91606
(818) 808-0108
(747) 444-4085
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
10/04/2024
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