Provider Demographics
NPI:1265818082
Name:BEST NEW LIFE RECOVERY
Entity Type:Organization
Organization Name:BEST NEW LIFE RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BEST-FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-545-4606
Mailing Address - Street 1:25060 HANCOCK AVE
Mailing Address - Street 2:SUITE #103-106
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5930
Mailing Address - Country:US
Mailing Address - Phone:951-545-4606
Mailing Address - Fax:
Practice Address - Street 1:20755 CARANCHO RD
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4242
Practice Address - Country:US
Practice Address - Phone:951-545-4606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA330137AP324500000X
CA330137BP324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA330137BPOtherSTATE LICENSE
CA330137APOtherMEDI-CAL STATE LICENCE