EXECUTIVE RECOVERY GROUP, INC – NPI #1043976392
Substance Abuse 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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

EXECUTIVE RECOVERY GROUP, INC is a substance abuse rehabilitation facility located in PALM DESERT, CA. NPPES has assigned the NPI number 1043976392 to EXECUTIVE RECOVERY GROUP, INC on November 11, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXECUTIVE RECOVERY GROUP, INC below.

NPI Profile for
EXECUTIVE RECOVERY GROUP, INC

NPI Number
1043976392
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXECUTIVE RECOVERY GROUP, INC
Primary location
35450 PEGASUS CT UNIT C
PALM DESERT, CA 92211-1604
Phone: (760) 409-1287 Fax:
Mailing address
35450 PEGASUS CT
PALM DESERT, CA 92211-1604
Phone: Fax:
Organization Subpart
Yes - EXECUTIVE RECOVERY GROUP, INC is subpart of another organization.
Authorized Official
AMY CRICHTON
EXECUTIVE DIRECTOR
Phone: (760) 200-3839
Updated
Certification Date
Oct 27, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.