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
11300 SPRUCE ST, LYNWOOD, CA 90262-3629
(562) 436-3533
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
06/22/2011
Last updated
06/22/2011
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