Organization
AUTHENTIC RECOVERY, LLC.
Active
Other names
Casa Palmera Los Angeles, Authentic Recovery Center, Pelham
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALEN GUSTILO (DIRECTOR OF PAYER RELATIONS)
(714) 568-7667
Entity
Organization
Contact information
Practice address
2207 PELHAM AVE, LOS ANGELES, CA 90064-2006
(310) 726-3251
Mailing address
18401 VON KARMAN AVE STE 500, IRVINE, CA 92612-8531
(714) 828-1800
(714) 882-1186
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
07/31/2024
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