Organization
GRANDVIEW VILLAS RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH AMIN (CEO)
(310) 877-7076
Entity
Organization
Contact information
Practice address
4550 GABLE DR, ENCINO, CA 91316-4354
(310) 877-7076
Mailing address
4550 GABLE DR, ENCINO, CA 91316-4354
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191232AP
DEPARTMENT OF HEALTH CARE SERVICES
CA
Enumeration date
01/11/2024
Last updated
01/16/2024
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