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Organization

HOLLYCARE RECOVERY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISHA KHUDAVERDYAN (CEO)
(818) 934-2200
Entity
Organization

Contact information

Practice address
14242 VENTURA BLVD STE 235, SHERMAN OAKS, CA 91423-2757
(818) 934-2200
Mailing address
14242 VENTURA BLVD STE 235, SHERMAN OAKS, CA 91423-2757
(818) 934-2200

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
09/27/2024
Last updated
01/28/2026
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