| White Oak Recovery Center Llc | |
|
6023 Hazeltine Ave Van Nuys CA 91401-3525 | |
| (704) 450-2117 | |
| Not Available |
| Full Name | White Oak Recovery Center Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6023 Hazeltine Ave, Van Nuys, California |
| Authorized Official Name and Position | Dustin X Johnson (CEO) |
| Authorized Official Contact | 7044502117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Oak Recovery Center Llc 4009 Masonboro Loop Rd Wilmington NC 28409-3640 Ph: (704) 450-2117 | White Oak Recovery Center Llc 6023 Hazeltine Ave Van Nuys CA 91401-3525 Ph: (704) 450-2117 |
| NPI Number | 1801612445 |
|---|---|
| Provider Enumeration Date | 11/27/2024 |
| Last Update Date | 11/27/2024 |
| Certification Date | 11/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801612445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Magnolia Clinical Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5656 Cantaloupe Ave, Van Nuys, CA 91401 Phone: 818-489-0846 | |
Behavior Motivation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7602 N Patriot Way, Van Nuys, CA 91405 Phone: 818-987-1808 | |
Substance Abuse Specialist Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14515 Hamlin St, Van Nuys, CA 91411 Phone: 323-387-2405 Fax: 323-727-0284 |