| Lotus Recovery Services Inc | |
|
509 Marin St Ste 123 Thousand Oaks CA 91360-4230 | |
| (805) 371-6377 | |
| Not Available |
| Full Name | Lotus Recovery Services Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 509 Marin St Ste 123, Thousand Oaks, California |
| Authorized Official Name and Position | Erik Bruce Shirey (PROGRAM DIRECTOR) |
| Authorized Official Contact | 8185198334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Recovery Services Inc 509 Marin St Ste 123 Thousand Oaks CA 91360-4230 Ph: (805) 371-6377 | Lotus Recovery Services Inc 509 Marin St Ste 123 Thousand Oaks CA 91360-4230 Ph: (805) 371-6377 |
| NPI Number | 1538938055 |
|---|---|
| Provider Enumeration Date | 12/26/2023 |
| Last Update Date | 12/26/2023 |
| Certification Date | 12/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538938055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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