WOODGLEN RECOVERY JUNCTION INCORPORATED (NPI# 1437244159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437244159 |
| Entity Type | Organization |
| Organization Name | WOODGLEN RECOVERY JUNCTION INCORPORATED |
| Practice Address |
771 W Orangethorpe Ave Fullerton CA 92832-2806 |
| Practice Telephone | 7148790929 |
| Practice Fax Number | 7145782960 |
| Mailing Telephone | 7148790929 |
| Mailing Fax Number | 7145782960 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEANIE BROWN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7148796916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 300042AN | CA | Residential Treatment Facilities |
| Street Address |
771 W ORANGETHORPE AVE |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506991 | Desiree Lanette Bishop | Counselor | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2020-07-24 |
| 1568001261 | Karina Frazelle | Counselor | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2019-12-27 |
| 1366085102 | Steve Matt Woodrum | Counselor | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2019-10-24 |
| 1336781103 | Gary Michael Fuller | Counselor | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2019-10-14 |
| 1073162764 | Laura Eugenia Avina | Counselor | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2019-09-05 |
| 1649732199 | Timothy Richard Brown | Counselor | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2019-04-03 |
| 1982169363 | Billi Ann Tellez | Counselor | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2019-02-10 |
| 1730644451 | Beatrice Lujan | Counselor | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2019-02-06 |
| 1265997399 | Doug Loughran | Counselor | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2019-02-03 |
| 1770047029 | Paula Marie Evans | Counselor | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2019-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
| Find all providers in zip 92832 | ||||
| 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 |
|---|---|---|---|---|
| 1003435033 | Resurgence California, LLC | Substance Abuse Rehabilitation Facility | 158 Marion Blvd, Fullerton, CA 92835-3525 | 2020-04-09 |
| 1093268849 | Woodglen West Detox | Substance Abuse Rehabilitation Facility | 1401 W Orangethorpe Ave, Fullerton, CA 92833-4632 | 2016-07-28 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1720249873 | The Sober Zone, Inc | Substance Abuse Rehabilitation Facility | 1308 W Porter Ave, Fullerton, CA 92833-4018 | 2008-06-20 |
| 1043397029 | Woodglen Recovery Junction | Substance Abuse Rehabilitation Facility | 751 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2006-11-01 |
| 1134205222 | Woodglen Recovery Junction | Substance Abuse Rehabilitation Facility | 329 E Commonwealth Ave, Fullerton, CA 92832-2016 | 2006-10-31 |
| 1558444901 | Callie Vitale | Substance Abuse Rehabilitation Facility | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2006-10-21 |
| 1831271386 | Carlos Antonio Isais | Substance Abuse Rehabilitation Facility | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2006-10-20 |
| 1851480016 | Georgina R Vitale-hansen | Substance Abuse Rehabilitation Facility | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2006-10-12 |
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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 |
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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.