National Provider Identifier Database

AUTHENTIC RECOVERY LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

AUTHENTIC RECOVERY, LLC.
2203 OVERLAND AVE
LOS ANGELES, CA90064-2025
Phone: 310-807-5451
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for AUTHENTIC RECOVERY, LLC.

NPI Number 1114173036
Legal business name
LBN
AUTHENTIC RECOVERY, LLC.
Authorized official MAGDALEN GUSTILO - (AVP PAYER RELATIONS & STRATEGY)
Entity Organization
Organization subpart No
Enumeration date 08/12/2008
Last updated 12/30/2025 - About 5 months ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 190577AP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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