Organization · NPI-2

1 Life Recovery Centers

Substance Abuse Rehabilitation Facility · Northridge, CA

NPI number1811618184

StatusActive

Last updated in NPPESFeb 26, 2024

Details

NPI: 1811618184
Entity type: Organization (NPI-2)
Legal business name: 1 Life Recovery Centers
Organization subpart: No
Enumeration date: Sep 6, 2022
Certification date: Feb 26, 2024
Last updated: Feb 26, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
324500000X	Substance Abuse Rehabilitation Facility	–	–	Yes
261QR0405X	Clinic/Center, Rehabilitation, Substance Use Disorder	–	–

Practice location

9400 Encino Ave
Northridge, CA 91325-2416

Phone 818-568-6446

Mailing address

626 W Colorado St
Glendale, CA 91204-1104

Authorized official

Sona Topalian
Program Director
8185686446

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.