Organization
BLUEBERRY WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITALI ALKABETZ (CEO)
(818) 613-3277
Entity
Organization
Contact information
Practice address
1653 S RIMPAU BLVD, LOS ANGELES, CA 90019-5658
(818) 613-3277
Mailing address
11853 S. INGLEWOOD BLVD., HAWTHORNE, CA 90250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/26/2026
Last updated
03/30/2026
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