Provider Demographics
NPI:1821791385
Name:HIGHER VISION WELLNESS CENTER
Entity Type:Organization
Organization Name:HIGHER VISION WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:GHARIBIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-926-6468
Mailing Address - Street 1:10270 SUNLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-1740
Mailing Address - Country:US
Mailing Address - Phone:818-926-6468
Mailing Address - Fax:
Practice Address - Street 1:10857 ART ST
Practice Address - Street 2:
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-1307
Practice Address - Country:US
Practice Address - Phone:818-926-6468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder