Provider Demographics
NPI:1275328916
Name:WAKE POINT RECOVERY LLC
Entity type:Organization
Organization Name:WAKE POINT RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAROOKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-912-0655
Mailing Address - Street 1:11712 MOORPARK ST STE 110
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2155
Mailing Address - Country:US
Mailing Address - Phone:818-912-0655
Mailing Address - Fax:
Practice Address - Street 1:11712 MOORPARK ST STE 110
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2155
Practice Address - Country:US
Practice Address - Phone:818-912-0655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder