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

Executive Recovery Group, Inc

Organization Adult Mental Health Clinic/Center · NPI 1922652296

Executive Recovery Group, Inc is an Adult Mental Health Clinic/Center in Encino, California. Registered with an NPI since 2019.

In the registry since
2019
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

15613 Ventura Blvd
Encino, CA 91436-3128
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 Clinic/Center (primary) Taxonomy 261QR0405X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1922652296
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationExecutive Recovery Group, Inc
Authorized official Amy Crichton — Executive Director · (760) 200-3839
Other names The Lake Iop
NPI enumeratedJuly 25, 2019
Last updated in NPPESJuly 25, 2019
Mailing address35450 Pegasus Ct, Palm Desert, CA 92211-1604

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