Atlantic Recovery Services
Organization Active NPI Community/Behavioral Health Agency · South Gate, CA
NPI 1720206584 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1720206584
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 190229AN (CA)
- Legal business name
- ATLANTIC RECOVERY SERVICES
- Practice address
- 9722 San Antonio Ave
South Gate
South Gate, CA 90280-4620 - Phone
- (323) 562-6925
- Fax
- (323) 563-7497
- NPI assigned
- Apr 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Lisa Chavez
- Title
- Director
- Phone
- (562) 436-3533
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Atlantic Recovery Services
Locations
9722 San Antonio Ave
South Gate, CA 90280
Phone (323) 562-6925
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 190229AN | CA | Yes |
Addresses
Primary practice location
9722 San Antonio Ave
South Gate
South Gate, CA 90280-4620
Mailing address
944 Pacific Ave
Long Beach, CA 90813-4228
Phone (562) 436-3533
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6775 | Medicaid | CA |
Other providers in South Gate, CA
- Ariel Escobedo, Licensed Clinical Social Worker Inc.
- Rafael Arteaga
- Arturo Castellanos Dental Group Corporation
- Hugo Raziel Asurza
- Atlantic Recovery Services
- Austin Nahouray Dental Corporation
- Monica Avila
- Eliseo Ayala
- Liza Ayd
- Narciso Azurin
All providers in South Gate, 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 Aug 22, 2020. 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.