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EXECUTIVE RECOVERY GROUP, INC
NPI 1922652296
Clinic/Center - Rehabilitation, Substance Use Disorder in Encino, CA

Active since July 25, 2019
15613 VENTURA BLVD, ENCINO, CA 91436(760) 409-1287 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Executive Recovery Group, Inc NPPES

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

EXECUTIVE RECOVERY GROUP, INC (NPI 1922652296), doing business as The Lake Iop, is a healthcare organization registered as a rehabilitation, substance use disorder in Encino, California and active in the NPI registry since July 2019. The organization lists Amy Crichton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1922652296
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameEXECUTIVE RECOVERY GROUP, INC
Location Address15613 VENTURA BLVDEncino, CA 91436-3128
Mailing Address35450 Pegasus CtPalm Desert, CA 92211-1604 · (760) 409-1287
Phone(760) 409-1287
Organization SubpartYes
Authorized OfficialAmy CrichtonExecutive Director · (760) 200-3839
Enumeration DateJuly 25, 2019
✔ NPI 1922652296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
15613 VENTURA BLVD, Encino, CA 91436
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Other Names 1

Doing Business AsThe Lake Iop

Other Identifiers 1

Other190042CPCA · Department Of Health Care Services

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 1922652296. It was assigned to this organization in the NPPES registry on July 25, 2019. The provider is doing business as The Lake IOP.

Where is Executive Recovery Group, Inc located?

Executive Recovery Group, Inc is located at 15613 Ventura Blvd, Encino, CA 91436. The listed phone number is (760) 409-1287.

What is Executive Recovery Group, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Executive Recovery Group, Inc was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.