Organization
ATLANTIC RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MILLER (PROGRAM DIRECTOR)
(562) 436-3533
Entity
Organization
Contact information
Practice address
13456 VAN NUYS BLVD, PACOIMA, CA 91331
(562) 436-3533
(562) 436-1007
Mailing address
944 PACIFIC AVE, LONG BEACH, CA 90813
(562) 436-3533
(562) 436-1007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
190229AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7143
—
CA
Enumeration date
04/24/2007
Last updated
08/04/2008
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