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General NPI Number Information
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NPI Number | 1003616848
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Entity Type | Organization
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Legal Business Name | WESTLAKE VILLAGE RECOVERY CENTER, LLC
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 265 SUNSET DR STE 120
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-4946
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Country | US
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Telephone | 747-688-0470
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Fax |
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Provider Business Mailing Address
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Address Line | 265 SUNSET DR STE 120
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-4946
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Country | US
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Telephone | 747-688-0470
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SUREN HARUTYUNYAN
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Credential |
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Telephone | 747-688-0470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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