NPI | 1346984804 |
---|---|
Doing Business As | CIVANA HEALTH & WELLNESS |
Entity Type | Organization |
Authorized Contact | ALBERT POGHOSYAN Program Director 818-913-5404 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2022-04-21 |
Last Update Date | 2022-04-21 |