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Organization

NEW HOPE RANCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAGDALEN GUSTILO (DIRECTOR OF PAYER RELATIONS)
(714) 568-7667
Entity
Organization

Contact information

Practice address
11908 SPARKS ROAD, MANOR, TX 78653
(714) 828-1800
(714) 882-1186
Mailing address
18401 VON KARMAN AVE STE 500, IRVINE, CA 92612-8531
(714) 828-1800
(714) 882-1186

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility
Primary
43034304
TX

Other

Enumeration date
05/09/2018
Last updated
07/15/2025
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