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EXECUTIVE RECOVERY GROUP INC NPI 1871108928


NPI Information

NPI: 1871108928
Provider Name: EXECUTIVE RECOVERY GROUP, INC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
77725 ENFIELD LN STE 200
PALM DESERT, CA
ZIP 92211
Phone: (818) 299-3602
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EXECUTIVE RECOVERY GROUP, INC is an adult mental health clinic center in Palm Desert, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. EXECUTIVE RECOVERY GROUP, INC NPI is 1871108928. The provider is registered as an organization entity type.

The provider's business location address is:

77725 ENFIELD LN STE 200
PALM DESERT, CA
ZIP 92211-468
Phone: (818) 299-3602
Fax: (805) 830-1565

The provider's authorized official is Joann Zuniga .
The authorized official title is Ur And Billing Director and has the following contact phone number (805) 702-4273.

The enumeration date for this NPI number is 9/14/2020 and was last updated on 9/14/2020.


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
1261QM0850XClinic/CenterAdult Mental HealthYes

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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