| Lotus Recovery Services Inc | |
|
191 W Wilbur Rd Ste 102 Thousand Oaks CA 91360-4324 | |
| (818) 519-8334 | |
| Not Available |
| Full Name | Lotus Recovery Services Inc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 191 W Wilbur Rd Ste 102, Thousand Oaks, California |
| Authorized Official Name and Position | Erik Bruce Shirey (OWNER / 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 191 W Wilbur Rd Ste 102 Thousand Oaks CA 91360-4324 Ph: (818) 519-8334 | Lotus Recovery Services Inc 191 W Wilbur Rd Ste 102 Thousand Oaks CA 91360-4324 Ph: (818) 519-8334 |
| NPI Number | 1679270904 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 05/19/2023 |
| Certification Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679270904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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