NEW LIFE ADDICTION TREATMENT CENTER INC. (NPI# 1598293854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598293854 |
| Entity Type | Organization |
| Organization Name | NEW LIFE ADDICTION TREATMENT CENTER INC. |
| Practice Address |
24882 Stem Ave Lake Forest CA 92630-5224 |
| Mailing Address |
23785 El Toro Rd # 271 Lake Forest CA 92630-4762 |
| Practice Telephone | 7144929035 |
| Practice Fax Number | 9494074888 |
| Mailing Telephone | 7144929035 |
| Mailing Fax Number | 9494074888 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |
| Authorized Official Name | MR. JEFFREY A GUILFOYLE SR. (CEO) |
| Authorized Official Telephone | 7144929035 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
300378AP | CA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
300378AP | CA | Behavioral Health & Social Service Providers |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 300378AP | CA | Residential Treatment Facilities |
| Street Address |
24882 STEM AVE |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| 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 |
|---|---|---|---|---|
| 1174137467 | 12 North LLC | Substance Abuse Rehabilitation Facility | 23696 Birtcher Dr, Lake Forest, CA 92630-1769 | 2020-09-03 |
| 1417317421 | Nationwide Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 22602 Costa Bella Dr, Lake Forest, CA 92630-4218 | 2016-03-03 |
| 1790074250 | Able To Change Recovery, Inc. | Substance Abuse Rehabilitation Facility | 23492 White Dove Dr, Lake Forest, CA 92630-3765 | 2011-04-05 |
| 1093182255 | Gordon Psychology Group, PC | Substance Abuse Rehabilitation Facility | 23331 El Toro Rd, Suite 102, Lake Forest, CA 92630-4891 | 2015-08-24 |
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| 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 | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
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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.