Provider Demographics
NPI:1477967271
Name:A NEW START TREATMENT AND RECOVERY CENTER
Entity Type:Organization
Organization Name:A NEW START TREATMENT AND RECOVERY CENTER
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:310-202-6410
Practice Address - Street 1:1251 WESTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4811
Practice Address - Country:US
Practice Address - Phone:310-287-1919
Practice Address - Fax:310-202-6410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-19
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC37154101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty