Organization
2ND CHANCE FOR RECOVERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OGANES JOHN HAKOPYAN (EXECUTIVE DIRECTOR)
(818) 590-0111
Entity
Organization
Contact information
Practice address
2216 S CENTRAL AVE, 2218 S. CENTRAL AVE., LOS ANGELES, CA 90011-1239
(818) 590-0111
(866) 754-1323
Mailing address
2116 S CENTRAL AVE, 2118 S. CENTRAL AVE., LOS ANGELES, CA 90011-1237
(818) 590-0111
(866) 754-1323
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7404
—
CA
Enumeration date
12/21/2011
Last updated
03/23/2012
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