| Gift Of Life Recovery | |
|
2626 Foothill Blvd Ste 260 La Crescenta CA 91214-3569 | |
| (818) 605-2299 | |
| Not Available |
| Full Name | Gift Of Life Recovery |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2626 Foothill Blvd Ste 260, La Crescenta, California |
| Authorized Official Name and Position | Edgar Shakhpazyan (PRESIDENT) |
| Authorized Official Contact | 8186052299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gift Of Life Recovery 2626 Foothill Blvd # 260 La Crescenta CA 91214-3569 Ph: (818) 605-2299 | Gift Of Life Recovery 2626 Foothill Blvd Ste 260 La Crescenta CA 91214-3569 Ph: (818) 605-2299 |
| NPI Number | 1265290852 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265290852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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