| NPI | 1154864205 |
|---|---|
| Doing Business As | MIND HEALTH INSTITUTE, NEWPORT BEACH |
| Entity Type | Organization |
| Authorized Contact | MATTHEW N KOURY Owner 949-891-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A91131) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA A99131) |
| 103TC0700X Psychologist, Clinical (Licence: CA A91131) | |
| 106H00000X Marriage & Family Therapist (Licence: CA A91131) | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |