Healthcare Provider Details

I. General information

NPI: 1649699844
Provider Name (Legal Business Name): TRUE NORTH DETOX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22051 OAK HILL LN
CLOVIS CA
93619-9350
US

IV. Provider business mailing address

27525 PUERTA REAL STE 300-316
MISSION VIEJO CA
92691-6379
US

V. Phone/Fax

Practice location:
  • Phone: 949-584-5957
  • Fax:
Mailing address:
  • Phone: 844-244-7837
  • Fax: 559-793-7258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. JOSHUA BEAUCHAINE
Title or Position: PRESIDENT
Credential: LMFT 47103
Phone: 949-584-5957