Resilient Recovery Treatment Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RESILIENT RECOVERY TREATMENT CENTER

Practice address

43900 Clark CT
Lancaster, CA 93536-5881

Phone

(818) 984-7047

NPI assigned

Jan 18, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Vadim Legov, OWNER

Title

Ceo

Phone

(818) 984-7047

Specialties & licenses 1

Addresses

Other names 1

• Resilient Recovery Treatment Center INC. Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1730894338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 YARMOUTH AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913167232",
            "telephone_number": "818-984-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43900 CLARK CT",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365881",
            "telephone_number": "818-984-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT RECOVERY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "LEGOV",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-984-7047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilient Recovery Treatment Center INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.