Healthcare Provider Details

I. General information

NPI: 1750298436
Provider Name (Legal Business Name): DISCOVERY TREATMENT CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17635 VANOWEN ST
VAN NUYS CA
91406-4353
US

IV. Provider business mailing address

17635 VANOWEN ST
VAN NUYS CA
91406-4353
US

V. Phone/Fax

Practice location:
  • Phone: 818-219-7698
  • Fax:
Mailing address:
  • Phone: 818-219-7698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELLIOTT GALYNSKY
Title or Position: OFFICER
Credential: RN
Phone: 818-219-7698