| NPI | 1376144642 |
|---|---|
| Doing Business As | NEWPORT ACADEMY-AVOCADO |
| Entity Type | Organization |
| Authorized Contact | JOSEPH A PROCOPIO CEO 949-432-4622 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2023-08-23 |