| Executive Recovery Group, Inc | |
|
77725 Enfield Ln Ste 200 Palm Desert CA 92211-0468 | |
| (818) 299-3602 | |
| (805) 830-1565 |
| Full Name | Executive Recovery Group, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 77725 Enfield Ln Ste 200, Palm Desert, California |
| Authorized Official Name and Position | Joann Zuniga (UR AND BILLING DIRECTOR) |
| Authorized Official Contact | 8057024273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Recovery Group, Inc 203 S Orange Dr Los Angeles CA 90036-3010 Ph: (818) 299-3602 | Executive Recovery Group, Inc 77725 Enfield Ln Ste 200 Palm Desert CA 92211-0468 Ph: (818) 299-3602 |
| NPI Number | 1871108928 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871108928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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