Organization
MERIDIAN RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN LEHTINEN (CEO)
(440) 488-9594
Entity
Organization
Contact information
Practice address
11835 W OLYMPIC BLVD STE 815E, LOS ANGELES, CA 90064-5056
(323) 332-9905
Mailing address
11835 W OLYMPIC BLVD STE 815E, LOS ANGELES, CA 90064-5056
(323) 332-9905
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
01/02/2024
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