Organization · Type 2 NPI

Executive Recovery Group, Inc

Mental Illness Community Based Residential Treatment Facility · Tarzana, CA

NPI number 1679273908 Active

Practice location

4755 Amigo Ave
Tarzana, CA 91356-4501

Call (805) 437-6515 Map

Mailing address

203 S Orange Dr
Los Angeles, CA 90036-3010

Other practice locations

  • 40681 Terraza Dr, Palm Desert, CA 92260-2357 · (760) 409-1287
  • 5034 Mecca Ave, Tarzana, CA 91356-4519 · (805) 437-6515

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed
Psychiatric Residential Treatment Facility 323P00000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1679273908

Executive Recovery Group, Inc's National Provider Identifier is 1679273908, issued on Mar 6, 2023. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Tarzana, CA. The record was last updated on Oct 28, 2026.