| Foundations Recovery Center Llc | |
|
17555 Ventura Blvd Ste 201 Encino CA 91316-3890 | |
| (805) 217-7358 | |
| Not Available |
| Full Name | Foundations Recovery Center Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 17555 Ventura Blvd Ste 201, Encino, California |
| Authorized Official Name and Position | Brandon Boyd (CEO) |
| Authorized Official Contact | 8052177358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Recovery Center Llc 17555 Ventura Blvd Ste 201 Encino CA 91316-3890 Ph: () - | Foundations Recovery Center Llc 17555 Ventura Blvd Ste 201 Encino CA 91316-3890 Ph: (805) 217-7358 |
| NPI Number | 1336960517 |
|---|---|
| Provider Enumeration Date | 10/21/2024 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336960517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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