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EXECUTIVE RECOVERY GROUP INC NPI 1659863108


NPI Information

NPI: 1659863108
Provider Name: EXECUTIVE RECOVERY GROUP, INC

Doing Business As: SANCTUARY TREATMENT CENTER

Classification: Rehabilitation, Substance Use Disorder Unit - 276400000X
Entity Type: Organization
Address:
19233 WHITE STONE CT
TARZANA, CA
ZIP 91356
Phone: (760) 409-1287
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EXECUTIVE RECOVERY GROUP, INC is a rehabilitation substance use disorder unit in Tarzana, CA. The provider is 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.) EXECUTIVE RECOVERY GROUP, INC NPI is 1659863108. The provider is registered as an organization entity type.
The provider Is Doing Business As Sanctuary Treatment Center.

The provider's business location address is:

19233 WHITE STONE CT
TARZANA, CA
ZIP 91356-131
Phone: (760) 409-1287

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 5/31/2018 and was last updated on 2/10/2022.


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
1251S00000XCommunity/Behavioral HealthNo
2276400000XRehabilitation, Substance Use Disorder UnitYes

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: 5/5/2024

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