Organization · Type 2 NPI

Social Model Recovery Systems, Inc.

Substance Abuse Rehabilitation Facility · Los Angeles, CA

NPI number 1124306386 Active

Practice location

453 S Indiana St
Los Angeles, CA 90063-3908

Fax (323) 266-7742

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.

37 other providers at this address

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NPI record

NPI: 1124306386
Entity type: Organization (Type 2)
Issued: Jul 21, 2011
Last updated: Aug 21, 2026
Status: Active
Subpart: Yes of Social Model Recovery Systems, Inc.

Other names

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Mariposa Recovery Home · other name

Authorized official

Lynetta Louise Hale, MA, LMFT, LPT
Senior Director, Clinical Services
(626) 332-3145

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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 1124306386

Social Model Recovery Systems, Inc.'s National Provider Identifier is 1124306386, issued on Jul 21, 2011. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 21, 2026.