Provider Demographics
NPI:1447058136
Name:NEWME DRUG AND ALCOHOL REHABILITATION LLC
Entity type:Organization
Organization Name:NEWME DRUG AND ALCOHOL REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASKINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-487-1577
Mailing Address - Street 1:5460 WHITE OAK AVE UNIT G109
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-2413
Mailing Address - Country:US
Mailing Address - Phone:310-487-1577
Mailing Address - Fax:
Practice Address - Street 1:17337 VENTURA BLVD # 322
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3903
Practice Address - Country:US
Practice Address - Phone:310-487-1577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder