Executive Recovery Group, INC
Substance Abuse Rehabilitation Facility in Palm Desert, CA. Organization (NPI-2).
NPI number1033580113
StatusActive
Last updated in NPPESAug 7, 2018
Details
- NPI
- 1033580113
- Entity type
- Organization (NPI-2)
- Legal business name
- Executive Recovery Group, INC
- Organization subpart
- No
- Enumeration date
- Oct 14, 2015
- Last updated
- Aug 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- Phoenix Rising Recovery (Doing Business As)
Practice location
35450 Pegasus CtPalm Desert, CA 92211
Phone 602-003-8397
Mailing address
35450 Pegasus CtPalm Desert, CA 92211-1604
Phone 760-409-1287
Authorized official
Amy Crichton
Executive Director
7602003839
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