Organization
NOVA VITAE RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN YADEGAR (EXEC DIRECTOR)
(818) 422-3442
Entity
Organization
Contact information
Practice address
5985 TOPANGA CANYON BLVD, WOODLAND HILLS, CA 91367-3623
(818) 925-5985
(818) 647-6500
Mailing address
4942 VINELAND AVE STE R, NORTH HOLLYWOOD, CA 91601-5637
(818) 422-3442
(818) 647-6500
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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