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

Executive Recovery Group, Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1972169605

Executive Recovery Group, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Tarzana, 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

4755 Amigo Ave
Tarzana, CA 91356-4501
Phone: (760) 409-1287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1972169605
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationExecutive Recovery Group, Inc
Authorized official Amy Crichton — Executive Director · (760) 200-3839
Other names Renewal Health Group; Sanctuary Amgio
NPI enumeratedMay 17, 2019
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address203 S Orange Dr, Los Angeles, CA 90036-3010

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