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EXECUTIVE RECOVERY GROUP INC NPI 1033580113


NPI Information

NPI: 1033580113
Provider Name: EXECUTIVE RECOVERY GROUP, INC

Doing Business As: PHOENIX RISING RECOVERY

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
35450 PEGASUS CT
PALM DESERT, CA
ZIP 92211
Phone: (602) 003-8397
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EXECUTIVE RECOVERY GROUP, INC is a substance abuse rehabilitation facility in Palm Desert, CA. The provider is 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. EXECUTIVE RECOVERY GROUP, INC NPI is 1033580113. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoenix Rising Recovery.

The provider's business location address is:

35450 PEGASUS CT
PALM DESERT, CA
ZIP 92211
Phone: (602) 003-8397

The provider's authorized official is Amy Crichton .
The authorized official title is Executive Director and has the following contact phone number (760) 200-3839.

The enumeration date for this NPI number is 10/14/2015 and was last updated on 8/7/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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