| Pristine Recovery Inc | |
|
18551 Ventura Blvd Tarzana CA 91356-4101 | |
| (818) 429-5078 | |
| Not Available |
| Full Name | Pristine Recovery Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 18551 Ventura Blvd, Tarzana, California |
| Authorized Official Name and Position | Karo Yerkanyan (CEO) |
| Authorized Official Contact | 8184295078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pristine Recovery Inc 18551 Ventura Blvd Tarzana CA 91356-4101 Ph: (818) 429-5078 | Pristine Recovery Inc 18551 Ventura Blvd Tarzana CA 91356-4101 Ph: (818) 429-5078 |
| NPI Number | 1427801950 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427801950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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