Provider Demographics
NPI:1891268066
Name:STRATEGIC HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:STRATEGIC HEALTH SERVICES LLC
Other - Org Name:HIRA HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FACILITIES ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-795-9831
Mailing Address - Street 1:27489 AGOURA RD STE 200
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2481
Mailing Address - Country:US
Mailing Address - Phone:503-791-3205
Mailing Address - Fax:
Practice Address - Street 1:222 AMALFI DR
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90402-1126
Practice Address - Country:US
Practice Address - Phone:503-791-3205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility