IRIS HEALING CENTER LLC NPI 1144734922

NPI Information

IRIS HEALING CENTER LLC is a substance abuse rehabilitation facility in Woodland Hills, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. IRIS HEALING CENTER LLC NPI is 1144734922. The provider is registered as an organization entity type.

The provider's business location address is:

20300 VENTURA BLVD STE 300
WOODLAND HILLS, CA
ZIP 91364-901
Phone: (323) 449-0016
Fax: (323) 449-0016

The provider's authorized official is Elena Kapustina .
The authorized official title is Ceo and has the following contact phone number (323) 449-0016.

The CLIA number assigned to this NPI record is 05D2159909 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2017 and was last updated on 7/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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