Organization
RESTORE HEALTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC J LEON (COO)
(954) 641-5366
Entity
Organization
Contact information
Practice address
6918 OWENSMOUTH AVE STE A, CANOGA PARK, CA 91303-2003
(818) 946-2772
Mailing address
6918 OWENSMOUTH AVE, LOS ANGELES, CA 90084-4077
(818) 946-2772
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
12/05/2022
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