Organization
KOOL LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAROUJAN KHACHERYAN (PRESIDENT)
(323) 870-7777
Entity
Organization
Contact information
Practice address
18960 KESWICK ST, RESEDA, CA 91335-1723
(323) 870-7777
Mailing address
20138 ELKWOOD ST, WINNETKA, CA 91306-2312
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300332AP
CA
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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