Organization
A NEW START
Active
Other names
Muse Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA PORRECA (COO AND ASSISTANCE TO THE CEO)
(828) 773-4477
Entity
Organization
Contact information
Practice address
11243 LUCERNE AVE, LOS ANGELES, CA 90230-5207
(805) 644-1598
(805) 556-4733
Mailing address
3151 AIRWAY AVE STE E1, COSTA MESA, CA 92626-4620
(888) 700-5053
(805) 556-4733
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190798CP
CA
Other
Enumeration date
10/29/2014
Last updated
08/03/2021
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