Organization
NEW LIFE SPIRIT RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TUCKER MCA, MRAS, MDAAC (CEO)
(714) 841-1906
Entity
Organization
Contact information
Practice address
18652 FLORIDA ST, SUITE 200, HUNTINGTON BEACH, CA 92648-1924
(714) 841-1906
(714) 908-3308
Mailing address
18652 FLORIDA ST, SUITE 200, HUNTINGTON BEACH, CA 92648-1924
(714) 841-1906
(714) 908-3308
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
300190AP
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
300190AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300190AP
DHCS - DEPARTMENT OF HEALTH CARE SERVICES
CA
Enumeration date
03/04/2012
Last updated
01/20/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us