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 |