Canyon Recovery Center INC
Substance Abuse Rehabilitation Facility in Canyon Country, CA. Organization (NPI-2).
NPI number1710693361
StatusActive
Last updated in NPPESJan 26, 2023
Details
- NPI
- 1710693361
- Entity type
- Organization (NPI-2)
- Legal business name
- Canyon Recovery Center INC
- Organization subpart
- No
- Enumeration date
- Jan 26, 2023
- Certification date
- Jan 26, 2023
- Last updated
- Jan 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Practice location
17655 Scherzinger LnCanyon Country, CA 91387-1649
Phone 323-646-6464
Mailing address
17655 Scherzinger LnCanyon Country, CA 91387-1649
Phone 323-646-6464
Authorized official
Gevork Srapian
Ceo
3236466464
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