Organization
ATLANTIC RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CHAVEZ (DIRECTOR)
(562) 436-3533
Entity
Organization
Contact information
Practice address
141 S. FELTERLY AVE, EAST LA SEA, LOS ANGELES, CA 90022
(323) 264-7996
(323) 264-1121
Mailing address
944 PACIFIC AVE, LONG BEACH, CA 90813-4228
(562) 436-3533
(562) 436-6379
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190229AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6861
—
CA
Enumeration date
04/24/2007
Last updated
08/22/2020
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