Organization
NEW EXPERIENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN AIUMU (CEO)
(714) 814-0272
Entity
Organization
Contact information
Practice address
17971 EUCLID ST, FOUNTAIN VALLEY, CA 92708-5409
(714) 814-0272
Mailing address
PO BOX 2498, COSTA MESA, CA 92628-2498
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
03/01/2023
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