Provider Demographics
NPI:1174321293
Name:ETHOS RECOVERY, LLC
Entity type:Organization
Organization Name:ETHOS RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:CADC-III, CCMI-M
Authorized Official - Phone:818-355-1872
Mailing Address - Street 1:3914 TULLER AVE
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-4612
Mailing Address - Country:US
Mailing Address - Phone:818-355-1872
Mailing Address - Fax:310-391-6879
Practice Address - Street 1:3914 TULLER AVE
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-4612
Practice Address - Country:US
Practice Address - Phone:818-355-1872
Practice Address - Fax:310-391-6879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility