Atlantic Recovery Services
Organization Active NPI Community/Behavioral Health Agency · Lakewood, CA
NPI 1295060481 · NPPES record last updated Oct 19, 2010
Key facts
- NPI
- 1295060481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ATLANTIC RECOVERY SERVICES
- Practice address
- 3717 Michelson St Room Numbers 2-23
Lakewood, CA 90712-1402 - Phone
- (562) 436-3533
- NPI assigned
- Oct 6, 2009
- Organization subpart
- No
Authorized official
- Name
- Lori Miller
- Title
- Program Director
- Phone
- (562) 436-3533
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Atlantic Recovery Services
Locations
3717 Michelson St
#223
Lakewood, CA 90712
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
3717 Michelson St Room Numbers 2-23
Lakewood, CA 90712-1402
Mailing address
944 Pacific Ave
Long Beach, CA 90813-4228
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7006 | Medicaid | CA |
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All providers in Lakewood, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.