# NEW ROUTE RECOVERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619661576
- **Authorized official:** JOSEPH DESIDERIO (MGR)
- **Authorized official phone:** (424) 478-1336

## Contact information

- **Practice address:** 3215 BONNIE HILL DR, LOS ANGELES, CA 90068-1322
- **Practice address phone:** (424) 478-1336
- **Practice address fax:** (213) 995-8716
- **Mailing address:** 1968 S COAST HWY STE 2839, LAGUNA BEACH, CA 92651-3681
- **Mailing address phone:** (424) 478-1336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 305R00000X | Preferred Provider Organization | — | NULL | — |

## Other

- **Enumeration date:** 06/05/2023
- **Last updated:** 06/16/2023