Organization
MINDFUL RECOVERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY ESMAILIAN (CEO)
(818) 600-0060
Entity
Organization
Contact information
Practice address
210 S KENWOOD ST, GLENDALE, CA 91205-5108
(818) 251-8024
Mailing address
2629 FOOTHILL BLVD # 550, LA CRESCENTA, CA 91214-3511
(818) 251-8024
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
08/01/2022
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