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General NPI Number Information
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NPI Number | 1205749223
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Entity Type | Organization
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Legal Business Name | NEW CREATION BEHAVIORAL HEALTHCARE FOUNDATION
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 2131 E. 7TH STREET
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City | NATIONAL CITY
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State | CA
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Zip | 91950
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Country | US
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Telephone | 909-519-0767
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Fax | 909-697-2900
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Provider Business Mailing Address
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Address Line | 3286 E GUASTI RD STE 100
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City | ONTARIO
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State | CA
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Zip | 91761-8646
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Country | US
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Telephone | 909-476-2023
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Fax | 909-697-2900
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Authorized Official
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Title or Position | CEO/DIRECTOR
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Name | GLENN SWANSON
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Credential | CADC II, BS, MBA
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Telephone | 909-519-0767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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