NPIMap

Organization Active NPI

The Teen Project, Inc.

  • Substance Abuse Rehabilitation Facility
  • Trabuco Canyon, CA
National Provider Identifier
1326614009
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THE TEEN PROJECT, INC.
Practice address
20302 Flanagan Road
Trabuco Canyon, CA 92679
Phone
(949) 283-1260
NPI assigned
Jun 2, 2021
Organization subpart
Yes
Parent organization
THE TEEN PROJECTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauri Lynne Burns
Title
Executive Director
Phone
(949) 283-1260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

20302 Flanagan Road
Trabuco Canyon, CA 92679

Mailing address

22431 Antonio Pkwy Ste 527
RSM, CA 92688-2804
Phone (949) 283-1260

Other practice location 1

20342 Flanagan Road
Trabuco Canyon, CA 92679
Phone (800) 685-7460

Other names 2

  • Teen Project Drug Treatment Center Doing business as
  • Vera's Drug Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Teen Project Inc9 organizations share this tax ID, including this one
Part of
The Teen Project Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

22431 Antonio Pkwy
Ste 527
Rsm, CA 92688

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1326614009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22431 ANTONIO PKWY STE 527",
            "city": "RSM",
            "state": "CA",
            "postal_code": "926882804",
            "telephone_number": "949-283-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20302 FLANAGAN ROAD",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "92679",
            "telephone_number": "949-283-1260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20342 Flanagan Road",
            "address_purpose": "LOCATION",
            "city": "Trabuco Canyon",
            "state": "CA",
            "postal_code": "92679",
            "country_code": "US",
            "telephone_number": "800-685-7460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE TEEN PROJECT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE TEEN PROJECT",
        "enumeration_date": "2021-06-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "LAURI",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-283-1260"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teen Project Drug Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Teen Project Drug Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vera's Drug Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trabuco Canyon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.