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General NPI Number Information
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NPI Number | 1629747647
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Entity Type | Organization
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Legal Business Name | HILLHAVEN TREATMENT CENTER INC
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 14526 ROSCOE BLVD, UNIT 200, SECOND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 91402
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Country | US
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Telephone | 818-588-5818
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Fax |
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Provider Business Mailing Address
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Address Line | 14526 ROSCOE BLVD, UNIT 200, SECOND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 91402
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | ARNO KHACHATRIAN
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Credential | CADC II
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Telephone | 818-588-5818
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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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