Organization
MINDFUL RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL P RUBIN (ADMINISTRATOR)
(818) 415-3205
Entity
Organization
Contact information
Practice address
12134 VICTORY BLVD STE E, NORTH HOLLYWOOD, CA 91606-3205
(818) 762-8702
(818) 927-2088
Mailing address
12134 VICTORY BLVD STE E, NORTH HOLLYWOOD, CA 91606-3205
(818) 762-8702
(818) 927-2088
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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