NPI Code Details Logo

NPI 1164171526

NPI 1164171526 : ARRIVE RECOVERY CENTER, LLC : THOUSAND OAKS, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1164171526
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ARRIVE RECOVERY CENTER, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/22/2022
-----------------------------------------------------
    Last Update Date     |    03/22/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1333 E THOUSAND OAKS BLVD STE 108 
-----------------------------------------------------
    City                 |    THOUSAND OAKS
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91362-6271
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    805-501-7376
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3452 GREENVILLE DR 
-----------------------------------------------------
    City                 |    SIMI VALLEY
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93063-1247
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    805-501-7376
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     STEVEN  SEIBERLICH 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    805-501-7376
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    106H00000X
-----------------------------------------------------
    Taxonomy Name        |    Marriage & Family Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2084P0802X
-----------------------------------------------------
    Taxonomy Name        |    Addiction Psychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    261QR0405X
-----------------------------------------------------
    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.