Organization
RECOVERY GRADS, LLC
Active
Other names
The Haven at College
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT LIEBHARD (CFO)
(917) 374-4215
Entity
Organization
Contact information
Practice address
1015 GAYLEY AVE STE 203, LOS ANGELES, CA 90024-3475
(310) 822-1234
(213) 737-3059
Mailing address
1015 GAYLEY AVE STE 203, LOS ANGELES, CA 90024-3475
(310) 822-1234
(213) 737-3059
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
09/18/2025
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