ENGRAVE RECOVERY INC
NPI 1063331882
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lake Forest, CA
About Engrave Recovery Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENGRAVE RECOVERY INC (NPI 1063331882) is a healthcare organization registered as a mental health (including community mental health center) in Lake Forest, California and active in the NPI registry since July 2026. The organization lists Jackie Bahu, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Engrave Recovery Inc's NPI number?
The NPI number for Engrave Recovery Inc is 1063331882. It was assigned to this organization in the NPPES registry on July 14, 2026.
Where is Engrave Recovery Inc located?
Engrave Recovery Inc is located at 23072 Lake Center Dr Ste 203, Lake Forest, CA 92630. The listed phone number is (949) 775-3363.
What is Engrave Recovery Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Engrave Recovery Inc was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Engrave Recovery Inc · NPI 1063331882
Mental Health (Including Community Mental Health Center) organization in Lake Forest, California. Organization record, active in the CMS NPPES registry since July 14, 2026.
## Identity
- **NPI:** 1063331882 (Entity type: Organization)
- **Enumerated:** July 14, 2026
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Jackie Bahu, COO
## Practice location
- **Address:** 23072 LAKE CENTER DR STE 203, Lake Forest, CA 92630-2864
- **Phone:** (949) 775-3363
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063331882) · Data from the CMS NPPES public registry.