Healthcare Provider Details

I. General information

NPI: 1649104423
Provider Name (Legal Business Name): RECLAIM RECOVERY AND HEALING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 N 1ST AVE
ARCADIA CA
91006-2804
US

IV. Provider business mailing address

424 N 1ST AVE
ARCADIA CA
91006-2804
US

V. Phone/Fax

Practice location:
  • Phone: 626-317-5012
  • Fax:
Mailing address:
  • Phone: 626-317-5012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: IMAN DADRAS
Title or Position: PROGRAM DIRECTOR
Credential: LMFT
Phone: 612-516-6880