| NPI | 1194299545 |
|---|---|
| Doing Business As | VITA NOVA AT NEWPORT BAY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW CURRY Operating Officer 818-599-8539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2022-03-14 |