Organization
DECELIS RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HARLOW (COO)
(818) 383-5777
Entity
Organization
Contact information
Practice address
4595 DE CELIS PL, ENCINO, CA 91436-3245
(818) 383-5777
Mailing address
608 N CLYBOURN AVE, BURBANK, CA 91505-3130
(818) 383-5777
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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