Organization
LIBERTY HOUSING SERVICE
Active
Other names
New Start Detox
Organization subpart
No
Provider details
NPI number
Authorized official
MAY FIELDING (CEO)
(714) 875-5479
Entity
Organization
Contact information
Practice address
13832 GLENMERE DR, SANTA ANA, CA 92705-2812
(714) 332-3143
(714) 486-2127
Mailing address
17602 17TH ST STE 102-123, TUSTIN, CA 92780-1961
(714) 875-5479
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300249BP
CA
Other
Enumeration date
02/09/2017
Last updated
02/10/2017
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