OrganizationActive
Damascus Road, LLC
NPI 1154875185 · Substance Abuse Rehabilitation Facility · Anaheim, CA
Provider details
- NPI number
- 1154875185
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kelly Smith, Office Coordinator(559) 601-6065
- License
- 300656AP (CA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1313 N Brookhurst St
Anaheim, CA 92801-1646
Phone: (559) 601-6065
Street-level locationGet directions
Mailing address
Po Box 2496
Fullerton, CA 92837-0496
Other names (DBA / former)
- Doing business as
- Bridges to Life Detox
Registry dates
- Enumerated
- 2016-08-08
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.