NARCONON FRESH START – NPI #1336223296
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.

NARCONON FRESH START is a substance abuse rehabilitation facility located in HUNTINGTON BEACH, CA. NPPES has assigned the NPI number 1336223296 to NARCONON FRESH START on October 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is NARCONON SOUTHERN CALIFORNIA. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 14 years ago on May 17, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NARCONON FRESH START below.

NPI Profile for
NARCONON FRESH START

NPI Number
1336223296
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NARCONON FRESH START
Former Legal Business Name: NARCONON SOUTHERN CALIFORNIA
Primary location
17123 ROUNDHILL DRIVE
HUNTINGTON BEACH, CA 92649
Phone: (323) 871-8644 Fax: (818) 500-0542
Mailing address
225 W BROADWAY
SUITE 420
GLENDALE, CA 91204-1331
Phone: (323) 871-8644 Fax: (818) 500-0542
Organization Subpart
No
Authorized Official
SHANNON FARNSWORTH
VP ADMINISTRATION
Phone: (323) 871-8644
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
CA 3000077AN; 370087AN

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.