Provider Demographics
NPI:1902485642
Name:HILLCREST RECOVERY INC.
Entity type:Organization
Organization Name:HILLCREST RECOVERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TALIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOURADIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RADT
Authorized Official - Phone:818-800-9702
Mailing Address - Street 1:6221 HOLLY MONT DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-3307
Mailing Address - Country:US
Mailing Address - Phone:323-798-4475
Mailing Address - Fax:
Practice Address - Street 1:6221 HOLLY MONT DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-3307
Practice Address - Country:US
Practice Address - Phone:323-798-4475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOLLYWOOD HILLS RECOVERY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility