Provider Demographics
NPI:1558828343
Name:AAA TREATMENT SOLUTIONS, LLC
Entity Type:Organization
Organization Name:AAA TREATMENT SOLUTIONS, LLC
Other - Org Name:ENLIGHT T
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARNO
Authorized Official - Middle Name:
Authorized Official - Last Name:KHACHATRIAN
Authorized Official - Suffix:
Authorized Official - Credentials:CADC II
Authorized Official - Phone:818-303-5535
Mailing Address - Street 1:3501 OCEAN VIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1211
Mailing Address - Country:US
Mailing Address - Phone:310-896-5183
Mailing Address - Fax:
Practice Address - Street 1:11811 DARLENE LN
Practice Address - Street 2:
Practice Address - City:MOORPARK
Practice Address - State:CA
Practice Address - Zip Code:93021-1020
Practice Address - Country:US
Practice Address - Phone:310-896-5183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility