Provider Demographics
NPI:1629747647
Name:HILLHAVEN TREATMENT CENTER INC
Entity Type:Organization
Organization Name:HILLHAVEN TREATMENT CENTER INC
Other - Org Name:
Other - Org Type:
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:818-588-5818
Mailing Address - Street 1:14526 ROSCOE BLVD, UNIT 200, SECOND FLOOR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:91402
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14526 ROSCOE BLVD, UNIT 200, SECOND FLOOR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:91402
Practice Address - Country:US
Practice Address - Phone:818-588-5818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health