Organization
AMERICAN INSTITUTE OF ADDICTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MIKITARIAN RN (CEO)
(818) 800-4734
Entity
Organization
Contact information
Practice address
12400 MAGNOLIA BLVD, VALLEY VILLAGE, CA 91607-2415
(818) 232-7220
(818) 217-1224
Mailing address
12400 MAGNOLIA BLVD, VALLEY VILLAGE, CA 91607-2415
(818) 232-7220
(818) 217-1224
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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