Organization · Type 2 NPI

Executive Recovery Group, Inc

Substance Abuse Rehabilitation Facility · Palm Desert, CA

NPI number 1033580113 Active

Practice location

35450 Pegasus Ct
Palm Desert, CA 92211

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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NPI record

NPI: 1033580113
Entity type: Organization (Type 2)
Issued: Oct 14, 2015
Last updated: Aug 7, 2018
Status: Active

Other names

<unavail>
Phoenix Rising Recovery · doing business as
Phoenix Rising Recovery · doing business as

Authorized official

Amy Crichton
Executive Director
(760) 200-3839

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033580113

Executive Recovery Group, Inc's National Provider Identifier is 1033580113, issued on Oct 14, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Palm Desert, CA. The record was last updated on Aug 7, 2018.