Embodied Recovery, Llc
LBN: Embodied Recovery, Llc
Embodied Recovery, Llc is an health care organization with primary practice located at 20 S Santa Cruz Ave Ste 319 , Los Gatos CA 95030-6834. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Embodied Recovery, Llc can be contacted via phone (888) 372-3610, or through Nolan, Michael via phone (408) 705-4598.
Contact Information
Primary practice address
20 S Santa Cruz Ave Ste 319
Los Gatos CA 95030-6834
Phone: (888) 372-3610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1154889079 |
|---|---|
| LBN Legal business name | Embodied Recovery, Llc |
| DBA Doing business as | |
| Authorized official | Nolan, Michael CADC-II |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 10th, 2019 |
| Last updated | Aug 26th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154889079 | NPPES |
| California | Other | A011980315 | CCAPP |
| California | Other | 97049 | CCAPP |
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