NPI | 1417553579 |
---|---|
Doing Business As | NEWPORT ACADEMY-AXIS |
Entity Type | Organization |
Authorized Contact | KEITH THOMPSON Chief Legal & Development Officer 949-432-4622 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2020-12-04 |
Last Update Date | 2025-10-02 |