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General NPI Number Information
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NPI Number | 1508509373
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Entity Type | Organization
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Legal Business Name | LIFEHOUSE RECOVERY, INC.
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Dates
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Enumeration Date | 04/19/2022
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 34711 CAPROCK RD
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City | SANTA CLARITA
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State | CA
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Zip | 91390-5423
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Country | US
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Telephone | 888-418-1019
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Fax |
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Provider Business Mailing Address
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Address Line | 2985 E HILLCREST DR STE 203
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-3192
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Country | US
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Telephone | 818-268-0989
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | ERICKA BUNAG
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Credential |
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Telephone | 888-489-1019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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