Organization
ELYSIAN HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN WHITE (CEO)
(310) 892-6295
Entity
Organization
Contact information
Practice address
7966 BEVERLY BLVD STE 103, LOS ANGELES, CA 90048-4511
(310) 892-6295
Mailing address
7966 BEVERLY BLVD STE 103, LOS ANGELES, CA 90048-4511
(310) 892-6295
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/03/2024
Last updated
04/14/2025
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