Provider Demographics
NPI:1265975064
Name:JOSHUA HOUSE, LLC
Entity type:Organization
Organization Name:JOSHUA HOUSE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & COO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:949-650-4334
Mailing Address - Street 1:3822 CAMPUS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2609
Mailing Address - Country:US
Mailing Address - Phone:949-650-4334
Mailing Address - Fax:
Practice Address - Street 1:3822 CAMPUS DR STE 200
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2609
Practice Address - Country:US
Practice Address - Phone:949-650-4334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL THERAPUETIC SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-28
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health