| 11:11 Recovery | |
|
5352 Laurel Canyon Blvd Ste 203 Valley Village CA 91607-4958 | |
| (818) 726-9999 | |
| Not Available |
| Full Name | 11:11 Recovery |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 5352 Laurel Canyon Blvd Ste 203, Valley Village, California |
| Authorized Official Name and Position | Kristina Kasabyan (CEO) |
| Authorized Official Contact | 8187269999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 11:11 Recovery 5352 Laurel Canyon Blvd Ste 203 Valley Village CA 91607-4958 Ph: () - | 11:11 Recovery 5352 Laurel Canyon Blvd Ste 203 Valley Village CA 91607-4958 Ph: (818) 726-9999 |
| NPI Number | 1750132676 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750132676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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