| Hollywood Recovery Treatment Center | |
|
12500 Riverside Dr Ste 211 Studio City CA 91607-3436 | |
| (818) 980-0849 | |
| (818) 980-0859 |
| Full Name | Hollywood Recovery Treatment Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 12500 Riverside Dr Ste 211, Studio City, California |
| Authorized Official Name and Position | Martin Aguilar (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8189800849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollywood Recovery Treatment Center 12500 Riverside Dr Ste 211 Studio City CA 91607-3436 Ph: (818) 980-0849 | Hollywood Recovery Treatment Center 12500 Riverside Dr Ste 211 Studio City CA 91607-3436 Ph: (818) 980-0849 |
| NPI Number | 1518181379 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518181379 | NPI | - | NPPES |
| 6895 | Other | CA | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 6895 (California) | Secondary |
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