Organization
EXECUTIVE RECOVERY GROUP, INC
Active
Organization
EXECUTIVE RECOVERY GROUP, INC
Active
Parent organization
EXECUTIVE RECOVERY GROUP, INC.
Other names
Sanctuary Treatment Center, The Lake
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXECUTIVE RECOVERY GROUP, INC.
Authorized official
AMY CRICHTON (EXECUTIVE DIRECTOR)
(760) 200-3839
Entity
Organization
Contact information
Practice address
19233 WHITE STONE CT, TARZANA, CA 91356-1131
(760) 409-1287
Mailing address
19233 WHITE STONE CT, TARZANA, CA 91356-1131
(760) 409-1287
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
02/10/2022
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