Active Recovery Center, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

190790AP Issued in CA

Legal business name

ACTIVE RECOVERY CENTER, INC.

Practice address

6316 Etiwanda Ave
Tarzana, CA 91335-7032

Phone

(877) 444-1190

NPI assigned

Dec 12, 2013

Last updated

Dec 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Drew Edwards

Title

Billing Manager

Phone

(754) 201-3980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1902237209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 ETIWANDA AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913357032",
            "telephone_number": "877-444-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 ETIWANDA AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913357032",
            "telephone_number": "877-444-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "754-201-3980"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190790AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheriff Abudu
• Mohammad I Abuzaineh, M.D.
• Yvonne M Achterman
• Leslie Ackerman, LMFT
• Active Body Supplies
• Adam D. Goldstone, O.D., a Professional Corporation
• Adam Silberstein
• Anamaria Adam
• Miriam P Adamo, MFT
• Sepehr Adasha

• Substance Abuse Rehabilitation Facility in Tarzana, CA
• Providers in Tarzana, 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 Dec 12, 2013; 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.