Organization
STUDIO 64 RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALIN MOURADIAN (SECRETARY)
(818) 800-9702
Entity
Organization
Contact information
Practice address
6400 LAUREL CANYON BLVD STE 600, NORTH HOLLYWOOD, CA 91606-1568
(818) 800-9702
Mailing address
6400 LAUREL CANYON BLVD STE 600, NORTH HOLLYWOOD, CA 91606-1568
(818) 800-9702
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/09/2021
Last updated
11/05/2024
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