| Mindful Recovery Llc | |
|
12134 Victory Blvd Ste E North Hollywood CA 91606-3205 | |
| (818) 762-8702 | |
| (818) 927-2088 |
| Full Name | Mindful Recovery Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12134 Victory Blvd Ste E, North Hollywood, California |
| Authorized Official Name and Position | Mitchell P Rubin (ADMINISTRATOR) |
| Authorized Official Contact | 8184153205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Recovery Llc 12134 Victory Blvd Ste E North Hollywood CA 91606-3205 Ph: (818) 762-8702 | Mindful Recovery Llc 12134 Victory Blvd Ste E North Hollywood CA 91606-3205 Ph: (818) 762-8702 |
| NPI Number | 1801404181 |
|---|---|
| Provider Enumeration Date | 07/22/2020 |
| Last Update Date | 07/22/2020 |
| Certification Date | 07/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801404181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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