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General NPI Number Information
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NPI Number | 1952826067
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Entity Type | Organization
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Legal Business Name | RECOVERY GRADS, LLC
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Dates
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Enumeration Date | 08/09/2017
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1015 GAYLEY AVE STE 203
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City | LOS ANGELES
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State | CA
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Zip | 90024-3475
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Country | US
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Telephone | 310-822-1234
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Fax | 213-737-3059
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Provider Business Mailing Address
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Address Line | 1015 GAYLEY AVE STE 203
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City | LOS ANGELES
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State | CA
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Zip | 90024-3475
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Country | US
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Telephone | 310-822-1234
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Fax | 213-737-3059
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Authorized Official
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Title or Position | CFO
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Name | ELLIOT LIEBHARD
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Credential |
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Telephone | 917-374-4214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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