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.
2207 PELHAM AVE
LOS ANGELES, CA90064-2006
Phone: 310-726-3251
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for AUTHENTIC RECOVERY, LLC.

NPI Number 1144971813
Legal business name
LBN
AUTHENTIC RECOVERY, LLC.
Authorized official MAGDALEN GUSTILO - (DIRECTOR OF PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 01/14/2022
Last updated 07/31/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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