LIBERTY HOUSING SERVICE NPI 1649718677

NPI Information

  • NPI: 1649718677
  • Provider Name: LIBERTY HOUSING SERVICE
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: NEW START DETOX
  • CLIA Number: 05D2069099
  • Address: 13832 GLENMERE DR
    SANTA ANA, CA
    ZIP 92705
  • Phone: (714) 332-3143

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NPI Details

LIBERTY HOUSING SERVICE is a substance abuse rehabilitation facility in Santa Ana, 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. LIBERTY HOUSING SERVICE NPI is 1649718677. The provider is registered as an organization entity type.
The provider Is Doing Business As New Start Detox.

The provider's business location address is:

13832 GLENMERE DR
SANTA ANA, CA
ZIP 92705-812
Phone: (714) 332-3143
Fax: (714) 486-2127

The provider's authorized official is May Fielding .
The authorized official title is Ceo and has the following contact phone number (714) 875-5479.

The CLIA number assigned to this NPI record is 05D2069099 - other - detox treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2017 and was last updated on 2/10/2017.

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
1324500000XSubstance Abuse Rehabilitation Facility300249BPCALIFORNIAYes

What is NPI?

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

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