Organization
1 LIFE RECOVERY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONA TOPALIAN LMFT (PROGRAM DIRECTOR)
(818) 568-6446
Entity
Organization
Contact information
Practice address
9400 ENCINO AVE, NORTHRIDGE, CA 91325-2416
(818) 568-6446
Mailing address
626 W COLORADO ST, GLENDALE, CA 91204-1104
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
02/26/2024
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