Provider Demographics
NPI:1366147928
Name:ZEN RECOVERY CENTER INC.
Entity type:Organization
Organization Name:ZEN RECOVERY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAKOB
Authorized Official - Middle Name:
Authorized Official - Last Name:KUYUMJYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-855-9040
Mailing Address - Street 1:23460 HATTERAS ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-3020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20944 SHERMAN WAY STE 108
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-3625
Practice Address - Country:US
Practice Address - Phone:818-855-9040
Practice Address - Fax:855-952-3790
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZEN RECOVERY CENTER INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)