Organization
VOGUE RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BOYADZHYAN (OWNER)
(818) 916-8116
Entity
Organization
Contact information
Practice address
7790 EDNA AVE, LAS VEGAS, NV 89117-2965
(702) 982-0095
Mailing address
4960 VANALDEN AVE, TARZANA, CA 91356-4718
(818) 916-8116
(818) 280-8064
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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