A Wellness Center LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Van Nuys, CA. Organization (NPI-2).
NPI number1457179764
StatusActive
Last updated in NPPESSep 27, 2024
Details
- NPI
- 1457179764
- Entity type
- Organization (NPI-2)
- Legal business name
- A Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2024
- Certification date
- Sep 27, 2024
- Last updated
- Sep 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
6259 Van Nuys Blvd Ste BVan Nuys, CA 91401-2711
Phone 818-482-3272
Mailing address
6259 Van Nuys Blvd Ste BVan Nuys, CA 91401-2711
Authorized official
Fred Hairabidian
Ceo
8184823272
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