Organization
11:11 RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA KASABYAN (CEO)
(818) 726-9999
Entity
Organization
Contact information
Practice address
5352 LAUREL CANYON BLVD STE 203, VALLEY VILLAGE, CA 91607-4958
(818) 726-9999
Mailing address
5352 LAUREL CANYON BLVD STE 203, VALLEY VILLAGE, CA 91607-4958
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
09/16/2024
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