Organization · NPI-2

Abc Wellness Health Center

Clinic/Center, Rehabilitation, Substance Use Disorder · Canoga Park, CA

NPI number1184414062
StatusActive
Last updated in NPPESMay 12, 2025

Details

NPI
1184414062
Entity type
Organization (NPI-2)
Legal business name
Abc Wellness Health Center
Organization subpart
No
Enumeration date
May 12, 2025
Certification date
May 12, 2025
Last updated
May 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––Yes
261QM0850X Clinic/Center, Adult Mental Health––

Practice location

21054 Sherman Way Ste 300
Canoga Park, CA 91303-1777

Phone 424-441-4441

Mailing address

21054 Sherman Way Ste 300
Canoga Park, CA 91303-1777

Phone 424-441-4441

Authorized official

Edgar Mnatsakanyan
Ceo
4244414441

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