Provider Demographics
NPI:1548879638
Name:LUXE TREATMENT CENTER LLC
Entity type:Organization
Organization Name:LUXE TREATMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANAHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KECHEJYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-458-3042
Mailing Address - Street 1:13609 DEBBY ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2421
Mailing Address - Country:US
Mailing Address - Phone:818-458-3042
Mailing Address - Fax:
Practice Address - Street 1:4845 N RILEY ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4124
Practice Address - Country:US
Practice Address - Phone:818-469-3917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2023-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility