Organization
INNERVISIONS RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRANIK SHAGINYAN (CFO)
(818) 826-9894
Entity
Organization
Contact information
Practice address
18218 ACRE ST, NORTHRIDGE, CA 91325
(818) 826-9894
Mailing address
14219 HAYNES ST, VAN NUYS, CA 91401-1414
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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