| Atlantic Recovery Services | |
|
1711 North Van Ness Los Angeles CA 90028 | |
| (562) 436-3533 | |
| (562) 436-1007 |
| Full Name | Atlantic Recovery Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1711 North Van Ness, Los Angeles, California |
| Authorized Official Name and Position | Lori Miller (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5624363533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Recovery Services 944 Pacific Ave Long Beach CA 90813 Ph: (562) 436-3533 | Atlantic Recovery Services 1711 North Van Ness Los Angeles CA 90028 Ph: (562) 436-3533 |
| NPI Number | 1235357005 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235357005 | NPI | - | NPPES |
| 7023 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 190229AN (California) | Secondary |
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