| Wish Recovery Iop | |
|
9846 White Oak Ave Ste 204 Northridge CA 91325-4806 | |
| (747) 333-8884 | |
| Not Available |
| Full Name | Wish Recovery Iop |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 9846 White Oak Ave Ste 204, Northridge, California |
| Authorized Official Name and Position | Mikayel Hakobyan (CEO) |
| Authorized Official Contact | 7472324283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wish Recovery Iop 9846 White Oak Ave Ste 204 Northridge CA 91325-4806 Ph: () - | Wish Recovery Iop 9846 White Oak Ave Ste 204 Northridge CA 91325-4806 Ph: (747) 333-8884 |
| NPI Number | 1376232728 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376232728 | 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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