Integrity Recovery Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

INTEGRITY RECOVERY CENTER

Practice address

16847 Nanette St
Granada Hills, CA 91344-1812

Phone

(818) 572-6438

NPI assigned

May 25, 2023

Last updated

May 25, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Arytun Harry Khoudagoulian

Title

Cfo

Phone

(818) 572-6438

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1518659648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 LUDLOW ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16847 NANETTE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441812",
            "telephone_number": "818-572-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "KHOUDAGOULIAN",
        "authorized_official_first_name": "ARYTUN HARRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-572-6438"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.