ATLANTIC RECOVERY SERVICES NPI 1568680338

NPI Information

NPI: 1568680338
Provider Name: ATLANTIC RECOVERY SERVICES
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
13456 VAN NUYS BLVD
PACOIMA, CA
ZIP 91331
Phone: (562) 436-3533
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ATLANTIC RECOVERY SERVICES is an addiction (substance use disorder) counselor in Pacoima, CA. ATLANTIC RECOVERY SERVICES NPI is 1568680338. The provider is registered as an organization entity type.

The provider's business location address is:

13456 VAN NUYS BLVD
PACOIMA, CA
ZIP 91331
Phone: (562) 436-3533
Fax: (562) 436-1007

The provider's authorized official is Lori Miller .
The authorized official title is Program Director and has the following contact phone number (562) 436-3533.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/4/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health		190229AN	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7143	MEDICAID	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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