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Executive Recovery Group, INC

Substance Abuse Rehabilitation Facility in Palm Desert, CA. Organization (NPI-2).

NPI number1497411748
StatusActive
Last updated in NPPESNov 11, 2021

Details

NPI
1497411748
Entity type
Organization (NPI-2)
Legal business name
Executive Recovery Group, INC
Organization subpart
Yes
Enumeration date
Nov 11, 2021
Certification date
Oct 27, 2021
Last updated
Nov 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes

Other names

  • Phoenix Rising Recovery (Doing Business As)

Practice location

35450 Pegasus Ct Ste B
Palm Desert, CA 92211-1604

Phone 760-200-3839

Mailing address

35450 Pegasus Ct
Palm Desert, CA 92211-1604

Authorized official

Amy Crichton
Executive Director
7602003839

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