Organization · Type 2 NPI

Executive Recovery Group, Inc

Substance Use Disorder Rehabilitation Hospital Unit · Tarzana, CA

NPI number 1659863108 Active

Practice location

19233 White Stone Ct
Tarzana, CA 91356-1131

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Substance Use Disorder Rehabilitation Hospital Unit Primary	276400000X	None listed

Substance Use Disorder Rehabilitation Hospital Unit: A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

Other substance use disorder rehabilitation hospital unit providers in Tarzana

Journey Hillside Tarzana, LLCSubstance Use Disorder Rehabilitation Hospital Unit Tarzana, CA NPI 1831653617

See all in Tarzana →

NPI record

NPI: 1659863108
Entity type: Organization (Type 2)
Issued: May 31, 2018
Last updated: Feb 10, 2022
Status: Active
Subpart: Yes of Executive Recovery Group, Inc.

Other names

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Sanctuary Treatment Center · doing business as
The Lake · doing business as

Authorized official

Amy Crichton
Executive Director
(760) 200-3839

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About NPI 1659863108

Executive Recovery Group, Inc's National Provider Identifier is 1659863108, issued on May 31, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Hospital Unit (276400000X), and the practice location is in Tarzana, CA. The record was last updated on Feb 10, 2022.