| 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 |