MEDICARE: NUMEN BEHAVIORAL HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	324500000X	Substance Abuse Rehabilitation Facility
2	251B00000X	Case Management Agency
3	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1922924513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUMEN BEHAVIORAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	28632 ROADSIDE DR STE 175
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-6080
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	28632 ROADSIDE DR STE 175
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-6080
Country	:	US
Telephone Number	:	917-825-8726
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	SASHA ZABELOVSKY
Credential	:
Telephone Number	:	917-825-8726

Provider Enumeration Date	:	06/26/2026
Last Update Date	:	06/26/2026

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