Healthcare Provider Details

I. General information

NPI: 1922804863
Provider Name (Legal Business Name): BURBANK RECOVERY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27240 TURNBERRY LN STE 200
VALENCIA CA
91355-1045
US

IV. Provider business mailing address

27240 TURNBERRY LN STE 200
VALENCIA CA
91355-1045
US

V. Phone/Fax

Practice location:
  • Phone: 818-918-8400
  • Fax:
Mailing address:
  • Phone: 818-918-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS KUECHENBERG
Title or Position: CEO
Credential:
Phone: 818-918-8400