Organization
LIGHT RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARYTUN KHOUDAGOULIAN (CEO)
(818) 572-6438
Entity
Organization
Contact information
Practice address
16946 SHERMAN WAY UNIT 200, VAN NUYS, CA 91406-3613
(818) 572-6438
Mailing address
16946 SHERMAN WAY UNIT 200, VAN NUYS, CA 91406-3613
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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