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MAGNOLIA RECOVERY LLC. NPI 1366101289


NPI Information

NPI: 1366101289
Provider Name: MAGNOLIA RECOVERY, LLC.

Doing Business As: MAGNOLIA RECOVERY

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
12406 MAGNOLIA BLVD
VALLEY VILLAGE, CA
ZIP 91607
Phone: (818) 232-7220
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MAGNOLIA RECOVERY, LLC. is a substance abuse rehabilitation facility in Valley Village, 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. MAGNOLIA RECOVERY, LLC. NPI is 1366101289. The provider is registered as an organization entity type.
The provider Is Doing Business As Magnolia Recovery.

The provider's business location address is:

12406 MAGNOLIA BLVD
VALLEY VILLAGE, CA
ZIP 91607-415
Phone: (818) 232-7220
Fax: (818) 217-1224

The provider's authorized official is Gregory Mikitarian .
The authorized official title is Principal and has the following contact phone number (818) 796-4311.

The enumeration date for this NPI number is 12/8/2021 and was last updated on 2/14/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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