Provider Type Icon

REBEL NEW LIFE TREATMENT CENTER LLC. NPI 1639719131


NPI Information

NPI: 1639719131
Provider Name: REBEL NEW LIFE TREATMENT CENTER, LLC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2191006

Address:
2309 E SYCAMORE ST
ANAHEIM, CA
ZIP 92806
Phone: (714) 507-6867
Get Directions

REBEL NEW LIFE TREATMENT CENTER, LLC. is a substance abuse rehabilitation facility in Anaheim, CA. The provider is 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. REBEL NEW LIFE TREATMENT CENTER, LLC. NPI is 1639719131. The provider is registered as an organization entity type.

The provider's business location address is:

2309 E SYCAMORE ST
ANAHEIM, CA
ZIP 92806-020
Phone: (714) 507-6867

The provider's authorized official is Tricia Perez .
The authorized official title is Cfo and has the following contact phone number (714) 507-6867.

The CLIA number assigned to this NPI record is 05D2191006 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/13/2020 and was last updated on 1/13/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.