Organization · Type 2 NPI

Social Model Recovery Systems, Inc.

Community/Behavioral Health Agency · Covina, CA

NPI number 1417261983 Active

Practice location

4626 North Grand Ave
Covina, CA 91724-2055

Call (626) 331-5316 Map

Fax (626) 332-2219

Mailing address

4626 N Grand Ave
Covina, CA 91724-2055

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1417261983
Entity type: Organization (Type 2)
Issued: Jul 27, 2010
Last updated: Aug 19, 2026
Status: Active
Subpart: Yes of Social Model Recovery Systems, Inc.

Other names

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Ncadd of Esg & PV · doing business as
National Council On Alcoholism and Drug Dependence Covina · doing business as

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 1417261983

Social Model Recovery Systems, Inc.'s National Provider Identifier is 1417261983, issued on Jul 27, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Covina, CA. The record was last updated on Aug 19, 2026.