Organization · Type 2 NPI
Executive Recovery Group, Inc
Substance Use Disorder Rehabilitation Clinic/Center · Encino, CA
NPI number
1922652296
Active
Practice location
15613 Ventura Blvd
Encino, CA 91436-3128
Mailing address
35450 Pegasus Ct
Palm Desert, CA 92211-1604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1922652296
Executive Recovery Group, Inc's National Provider Identifier is 1922652296, issued on Jul 25, 2019. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Encino, CA. The record was last updated on Jul 25, 2019.