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SANCTUARY TREATMENT CENTER
NPI 1659863108
Rehabilitation, Substance Use Disorder Unit in Tarzana, CA

Active since May 31, 2018CLIA 05D2169060 · Waiver
19233 WHITE STONE CT, TARZANA, CA 91356(760) 409-1287 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2022, Sep 14, 2020, Aug 7, 2018 (3 updates tracked since 2018).

About Sanctuary Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANCTUARY TREATMENT CENTER (NPI 1659863108) is a healthcare organization registered as a rehabilitation, substance use disorder unit in Tarzana, California and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Amy Crichton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1659863108
Entity TypeOrganization
Primary Taxonomy276400000X
Legal Business NameEXECUTIVE RECOVERY GROUP, INC
Location Address19233 WHITE STONE CTTarzana, CA 91356-1131
Mailing Address19233 White Stone CtTarzana, CA 91356-1131 · (760) 409-1287
Phone(760) 409-1287
Organization SubpartYesParent: Executive Recovery Group, Inc.
Authorized OfficialAmy CrichtonExecutive Director · (760) 200-3839
Enumeration DateMay 31, 2018
Last NPPES UpdateFebruary 10, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1659863108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation, Substance Use Disorder UnitHospital Units
Taxonomy Code276400000X
Definition
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
19233 WHITE STONE CT, Tarzana, CA 91356
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Other Names 2

Doing Business AsSanctuary Treatment Center
Doing Business AsThe Lake

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2169060

Executive Recovery Group, LLC Dba Oasis Behavioral Health · Tarzana, CA
Active · expires Jul 14, 2027
CLIA Number05D2169060
Laboratory TypeMental Health Rtc Subcute
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorLisa Benya
Laboratory Phone(415) 827-8269
Laboratory LocationExecutive Recovery Group, LLC Dba Oasis Behavioral Health4755 Amigo Blvd, Tarzana, CA 91356
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Executive Recovery Group, Inc's NPI number?

The NPI number for Executive Recovery Group, Inc is 1659863108. It was assigned to this organization in the NPPES registry on May 31, 2018. The provider is doing business as Sanctuary Treatment Center and The Lake.

Where is Executive Recovery Group, Inc located?

Executive Recovery Group, Inc is located at 19233 White Stone Ct, Tarzana, CA 91356. The listed phone number is (760) 409-1287.

What is Executive Recovery Group, Inc's specialty?

The primary specialty registered for this NPI is Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.

Does Executive Recovery Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2169060) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Executive Recovery Group, Inc was last updated on February 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.