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NPI Code Detail

MEDICARE: ATLANTIC RECOVERY SERVICES

MEDICARE: ATLANTIC RECOVERY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency190229ANCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679791446
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLANTIC RECOVERY SERVICES
Provider Business Mailing Address
First Line : 944 PACIFIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-4228
Country : US
Telephone Number : 562-436-3533
Fax Number : 562-436-6379
Provider Business Practice Location Address
First Line : 1711 ATLANTIC AVE
Second Line : SOUTH
City : LONG BEACH
State : CA
Zip : 90813-2018
Country : US
Telephone Number : 562-218-5400
Fax Number : 562-218-5421
Authorized Official
Title or Position : DIRECTOR
Name : LISA CHAVEZ
Credential :
Telephone Number : 562-436-3533
Provider Enumeration Date : 04/24/2007
Last Update Date : 08/22/2020

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Directions to “ATLANTIC RECOVERY SERVICES ” Practice Location

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