NPI | 1871108928 |
---|---|
Doing Business As | EXECUTIVE RECOVERY GROUP -MH OUTPT |
Entity Type | Organization |
Authorized Contact | JOANN ZUNIGA Ur And Billing Director 805-702-4273 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2020-09-14 |
Last Update Date | 2020-09-14 |