Hollywood Recovery Treatment Center

NPI #1518181379 in Studio City, California

Provider Information

NPI Number: 1518181379
Entity Type: Organization
Organization Name: Hollywood Recovery Treatment Center
Subpart: Yes (part of a larger organization)
Parent Organization: HOLLYWOOD RECOVERY TREATMENT CENTER
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Apr 12, 2007
Last Updated: Jul 31, 2013

Practice Location

Address: 12500 RIVERSIDE DR STE 211
City: Studio City
State: California
ZIP Code: 91607-3436
Phone: (818) 980-0849

Authorized Official

Name: MARTIN AGUILAR
Title: CLINICAL DIRECTOR
Phone: (818) 980-0849

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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MRS. Jennifer Dawn Masonis, CADC II ICADC A06436	Counselor - Addiction (Substance Use Disorder)	Studio City	AI Deep Dive
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DR. Shelley D Wise, D.C.	Counselor - Addiction (Substance Use Disorder)	Carmel	AI Deep Dive
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