TRUE NORTH DETOX LLC (NPI# 1194332726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194332726 |
| Entity Type | Organization |
| Organization Name | TRUE NORTH DETOX LLC |
| Practice Address |
2413 Whitmore Ave Clovis CA 93619-9252 |
| Mailing Address |
27525 Puerta Real Ste 100-316 Mission Viejo CA 92691-6379 |
| Practice Telephone | 5597126707 |
| Mailing Telephone | 7144177628 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | BENJAMIN BEAUCHAINE (COO) |
| Authorized Official Telephone | 8442447837 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DHCS LICENSE | 100094AP | 01 |
| Other Name | Type Code |
|---|---|
| First Steps Recovery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679107791 | True North Detox LLC | Substance Abuse Rehabilitation Facility | 21780 Oak Hill Ln, Clovis, CA 93619-9354 | 2020-02-27 |
| 1154817203 | True North Detox LLC | Substance Abuse Rehabilitation Facility | 21877 Oak Hill Ln, Clovis, CA 93619-9346 | 2018-07-02 |
| 1427542992 | True North Detox LLC | Substance Abuse Rehabilitation Facility | 2121 Herndon Ave Ste 103, Clovis, CA 93611-6302 | 2018-06-19 |
| 1407346489 | True North Detox LLC | Clinic/Center | 2121 Herndon Ave Ste 102, Clovis, CA 93611-6302 | 2018-05-15 |
| 1528433497 | True North Detox LLC | Substance Abuse Rehabilitation Facility | 19841 Redwing St, Woodland Hills, CA 91364-2618 | 2015-12-03 |
| 1649699844 | True North Detox LLC | Substance Abuse Rehabilitation Facility | 22051 Oak Hill Ln, Clovis, CA 93619-9350 | 2014-04-15 |
| Street Address |
2413 WHITMORE AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93619-9252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639557655 | Esperanza Therapy Services, LLC | Community/Behavioral Health | 3293 Whiteash, Clovis, CA 93619 | 2015-05-11 |
| 1063828960 | Rose Scott | Rehabilitation Practitioner | 3675 Richmond Avenue, Clovis, CA 93619 | 2014-07-11 |
| 1538458237 | Paula Y. Mouanoutoua | Pharmacist | 1544 N. Cherrylane, Clovis, CA 93619 | 2011-04-04 |
| 1114041795 | Anagha Pathak | Contractor | 776 W Siena Ln, Clovis, CA 93619 | 2007-03-19 |
| 1497742555 | Mohammad H Rahman | Allergy & Immunology | 12365 N Via Tuscania, Clovis, CA 93619 | 2005-10-04 |
| 1285771238 | Iulia Vorobchevici | Dentist | 1305 N Willow Ave, Suite 110, Clovis, CA 93619 | 2007-01-31 |
| 1316194368 | Carlo Magno Arriba Paderna | Dentist | 1627 N Karen Ave, Clovis, CA 93619-0406 | 2008-08-21 |
| 1871952317 | Brenda Louise Munoz | Physical Therapy Assistant | 513 W Prescott Ave, Clovis, CA 93619-0423 | 2016-02-12 |
| 1023277126 | Rosa Petrosian | Non-emergency Medical Transport (VAN) | 2471 Deauville Cir, Clovis, CA 93619-2828 | 2008-06-03 |
| 1831463330 | H & A Medical Transportation | Non-emergency Medical Transport (VAN) | 2471 Deauville Cir, Clovis, CA 93619-2828 | 2012-02-29 |
| Find all providers in zip 93619 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679107791 | True North Detox LLC | Substance Abuse Rehabilitation Facility | 21780 Oak Hill Ln, Clovis, CA 93619-9354 | 2020-02-27 |
| 1154817203 | True North Detox LLC | Substance Abuse Rehabilitation Facility | 21877 Oak Hill Ln, Clovis, CA 93619-9346 | 2018-07-02 |
| 1649699844 | True North Detox LLC | Substance Abuse Rehabilitation Facility | 22051 Oak Hill Ln, Clovis, CA 93619-9350 | 2014-04-15 |
| 1528193778 | Westcare | Substance Abuse Rehabilitation Facility | 2169 Alluvial Ave, Clovis, CA 93611-6633 | 2007-02-21 |
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| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.