Provider Demographics
NPI:1609515626
Name:CHC BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:CHC BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR / MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:HONZEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-779-1496
Mailing Address - Street 1:18022 LAKE ENCINO DR
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-4428
Mailing Address - Country:US
Mailing Address - Phone:818-599-8539
Mailing Address - Fax:
Practice Address - Street 1:18022 LAKE ENCINO DR
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-4428
Practice Address - Country:US
Practice Address - Phone:818-599-8539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility