Organization
ACTIVE RECOVERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DREW EDWARDS (BILLING MANAGER)
(754) 201-3980
Entity
Organization
Contact information
Practice address
6316 ETIWANDA AVE, TARZANA, CA 91335-7032
(877) 444-1190
Mailing address
6316 ETIWANDA AVE, TARZANA, CA 91335-7032
(877) 444-1190
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190790AP
CA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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