Provider Demographics
NPI:1629507595
Name:RECOVERY ADVOCATES, LLC
Entity Type:Organization
Organization Name:RECOVERY ADVOCATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:D
Authorized Official - Last Name:BIMBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-267-8481
Mailing Address - Street 1:1014 S WESTLAKE BLVD SUITE # 14-275
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-3108
Mailing Address - Country:US
Mailing Address - Phone:561-267-8481
Mailing Address - Fax:805-557-1999
Practice Address - Street 1:1800 BRIDGEGATE ST STE 204
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-1459
Practice Address - Country:US
Practice Address - Phone:805-371-7877
Practice Address - Fax:805-557-1999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17-00034798261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health