Provider Demographics
NPI:1558068262
Name:COMFORT RECOVERY TREATMENT CENTER LLC
Entity Type:Organization
Organization Name:COMFORT RECOVERY TREATMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HOVSEP
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRIKCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-522-2213
Mailing Address - Street 1:28245 LAURA LA PLANTE DR
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2441
Mailing Address - Country:US
Mailing Address - Phone:818-522-2213
Mailing Address - Fax:
Practice Address - Street 1:28245 LAURA LA PLANTE DR
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2441
Practice Address - Country:US
Practice Address - Phone:818-522-2213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility