STUDIO 64 RECOVERY NPI 1558932558

NPI Information

NPI: 1558932558
Provider Name: STUDIO 64 RECOVERY
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 05D2297308

Address:
1716 W BURBANK BLVD
BURBANK, CA
ZIP 91506
Phone: (818) 800-9702
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STUDIO 64 RECOVERY is an adult mental health clinic center in Burbank, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. STUDIO 64 RECOVERY NPI is 1558932558. The provider is registered as an organization entity type.

The provider's business location address is:

1716 W BURBANK BLVD
BURBANK, CA
ZIP 91506-313
Phone: (818) 800-9702

The provider's authorized official is Talin Mouradian .
The authorized official title is Secretary and has the following contact phone number (818) 800-9702.

The CLIA number assigned to this NPI record is 05D2297308 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2021 and was last updated on 10/19/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
2	324500000X	Substance Abuse Rehabilitation Facility		No
3	261QM0850X	Clinic/Center	Adult Mental Health	Yes

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: 4/28/2024

NPI Synchronization or Removal

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