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Organization

MYSTIC RECOVERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH TAWIL (CEO)
(818) 231-3334
Entity
Organization

Contact information

Practice address
22935 VENTURA BLVD STE 226, WOODLAND HILLS, CA 91364-5824
(818) 231-3334
Mailing address
20335 PARTHENIA ST, WINNETKA, CA 91306-1140
(818) 231-3334

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190091AP
CA

Other

Enumeration date
04/25/2018
Last updated
04/25/2018
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