Provider Demographics
NPI:1336685288
Name:A NEW START TREATMENT & RECOVERY CENTER - LUCERNE
Entity Type:Organization
Organization Name:A NEW START TREATMENT & RECOVERY CENTER - LUCERNE
Other - Org Name:MUSE TREATMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPECIAL ASSISTANT TO THE CEO
Authorized Official - Prefix:
Authorized Official - First Name:TANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PORRECA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-773-4477
Mailing Address - Street 1:3151 AIRWAY AVE STE E1
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4620
Mailing Address - Country:US
Mailing Address - Phone:888-700-5053
Mailing Address - Fax:
Practice Address - Street 1:11241 LUCERNE AVE
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-5207
Practice Address - Country:US
Practice Address - Phone:310-741-1018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A NEW START TREATMENT & RECOVERY CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-17
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190798CP324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility