TRUE NORTH DETOX LLC NPI 1407346489

NPI Information

  • NPI: 1407346489
  • Provider Name: TRUE NORTH DETOX LLC
  • Classification: Clinic/Center - 261QR0401X
  • Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Entity Type: Organization
  • :
  • Address: 2121 HERNDON AVE STE 102
    CLOVIS, CA
    ZIP 93611
  • Phone: (844) 244-7837

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NPI Details

TRUE NORTH DETOX LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Clovis, CA. TRUE NORTH DETOX LLC NPI is 1407346489. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2121 HERNDON AVE STE 102
CLOVIS, CA
ZIP 93611-302
Phone: (844) 244-7837

The provider's authorized official is Benjamin Beauchaine .
The authorized official title is Coo and has the following contact phone number (714) 417-7628.

The enumeration date for this NPI number is 5/15/2018 and was last updated on 2/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes
5324500000XSubstance Abuse Rehabilitation FacilityNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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