Vogue Recovery Center

LBN: Vogue Recovery Center
Vogue Recovery Center is an health care organization with primary practice located at 4122 N 17Th St Building A, Phoenix AZ 85016. 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. Vogue Recovery Center can be contacted via phone (818) 304-0705, or through Boyadzhyan, George via phone (818) 916-8116.

Contact Information

Primary practice address
4122 N 17Th St Building A Phoenix AZ 85016
Phone: (818) 304-0705
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boyadzhyan, George
Phone: (818) 916-8116

Health care specialties

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

Profile Details

NPI number 1972070910
LBN Legal business name Vogue Recovery Center
DBA Doing business as
Authorized official Boyadzhyan, George
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2018
Last updated Oct 29th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972070910 NPPES
Arizona Other IFBH9184 STATE LICENSE

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