Provider Demographics
NPI:1679290035
Name:UPPER PATH RECOVERY LLC
Entity Type:Organization
Organization Name:UPPER PATH RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TARKHANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-748-4845
Mailing Address - Street 1:22110 CLARENDON ST STE 201&202
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6310
Mailing Address - Country:US
Mailing Address - Phone:818-748-4845
Mailing Address - Fax:818-748-8599
Practice Address - Street 1:22110 CLARENDON ST STE 201&202
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6310
Practice Address - Country:US
Practice Address - Phone:818-748-4845
Practice Address - Fax:818-748-8599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder