Executive Recovery Group, Inc
LBN: Executive Recovery Group, Inc
Executive Recovery Group, Inc is an health care organization with primary practice located at 15613 Ventura Blvd , Encino CA 91436-3128. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Executive Recovery Group, Inc can be contacted via phone (760) 409-1287, or through Crichton, Amy via phone (760) 200-3839.
Contact Information
Primary practice address
15613 Ventura Blvd
Encino CA 91436-3128
Phone: (760) 409-1287
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1922652296 |
|---|---|
| LBN Legal business name | Executive Recovery Group, Inc |
| DBA Doing business as | |
| Authorized official | Crichton, Amy |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 25th, 2019 |
| Last updated | Jul 25th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922652296 | NPPES |
| California | Other | 190042CP | DEPARTMENT OF HEALTH CARE SERVICES |
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