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
211 S AVENUE 20, LOS ANGELES, CA 90031-2508
(562) 436-3533
(562) 436-0043
Mailing address
944 PACIFIC AVE, LONG BEACH, CA 90813-4228
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006
—
CA
Enumeration date
07/17/2012
Last updated
07/17/2012
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