| NPI | 1699531327 |
|---|---|
| Doing Business As | LIVE OAK WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KHATCHATUR SARAFIAN CEO 818-800-3233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-09-09 |