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Organization

VILLAGE RECOVERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. YOSEF GROSSMAN (CEO)
(310) 795-0545
Entity
Organization

Contact information

Practice address
21800 BURBANK BLVD STE 200, WOODLAND HILLS, CA 91367-7451
(310) 795-0542
Mailing address
21800 BURBANK BLVD STE 200, WOODLAND HILLS, CA 91367-7451
(310) 795-0542

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
01/20/2018
Last updated
03/22/2018
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