Atlantic Recovery Services

Organization Active NPI Community/Behavioral Health Agency · Los Angeles, CA

NPI 1891064952 · NPPES record last updated Dec 19, 2011

Key facts

NPI
1891064952
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
ATLANTIC RECOVERY SERVICES
Practice address
10720 Wilmington Ave
Los Angeles, CA 90059-1236
Phone
(562) 436-3533
Fax
(562) 436-0043
NPI assigned
Dec 19, 2011
Organization subpart
No

Authorized official

Name
Lori Miller
Title
Program Director
Phone
(562) 436-3533

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Atlantic Recovery Services (81 organizations share this tax ID)

Locations

10720 Wilmington Ave
Los Angeles, CA 90059

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

10720 Wilmington Ave
Los Angeles, CA 90059-1236

Mailing address

944 Pacific Ave
Long Beach, CA 90813-4228

Other identifiers

IdentifierTypeStateIssuer
7006MedicaidCA

Other providers in Los Angeles, CA

All providers in Los Angeles, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.