| NPI | 1417553579 |
|---|---|
| Doing Business As | NEWPORT ACADEMY-AXIS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH A PROCOPIO CEO 949-432-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2022-10-16 |