Recovery Grads, LLC
Substance Abuse Rehabilitation Facility in Los Angeles, CA. Organization (NPI-2).
NPI number1003461229
StatusActive
Last updated in NPPESSep 18, 2025
Details
- NPI
- 1003461229
- Entity type
- Organization (NPI-2)
- Legal business name
- Recovery Grads, LLC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2019
- Certification date
- Sep 18, 2025
- Last updated
- Sep 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Other names
- The Haven At College (Doing Business As)
Practice location
1015 Gayley Ave Ste 203Los Angeles, CA 90024-3475
Phone 310-822-1234 · Fax 213-737-3059
Mailing address
1015 Gayley Ave Ste 203Los Angeles, CA 90024-3475
Phone 310-822-1234 · Fax 213-737-3059
Authorized official
Elliott Liebhard
Cfo
9173744215
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