Mystic Recovery, Llc

LBN: Mystic Recovery, Llc
Mystic Recovery, Llc is an health care organization with primary practice located at 22935 Ventura Blvd Ste 226 , Woodland Hills CA 91364-5824. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Mystic Recovery, Llc can be contacted via phone (818) 231-3334, or through Tawil, Sarah via phone (818) 231-3334.

Contact Information

Primary practice address
22935 Ventura Blvd Ste 226 Woodland Hills CA 91364-5824
Fax:
Website:
Authorized official contact:
Name: Tawil, Sarah

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 190091AP California

Profile Details

NPI number 1770071748
LBN Legal business name Mystic Recovery, Llc
DBA Doing business as
Authorized official Tawil, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2018
Last updated Apr 25th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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