Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Executive Recovery Group, Inc

Organization Community/Behavioral Health Agency · NPI 1659863108

Executive Recovery Group, Inc is a Community/Behavioral Health Agency in Tarzana, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19233 White Stone Ct
Tarzana, CA 91356-1131
Phone: (760) 409-1287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Hospital Unit (primary) Taxonomy 276400000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1659863108
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationExecutive Recovery Group, Inc
Authorized official Amy Crichton — Executive Director · (760) 200-3839
Other names Sanctuary Treatment Center; The Lake
NPI enumeratedMay 31, 2018
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address19233 White Stone Ct, Tarzana, CA 91356-1131

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