NPI | 1508195959 |
---|---|
Doing Business As | NEWPORT ACADEMY-DOUBLE HILL |
Entity Type | Organization |
Authorized Contact | JOSEPH A PROCOPIO CEO 949-432-4622 |
Organization Subpart ? | Yes |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: CT CCF-155) |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CT CCF-155) | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2009-12-14 |
Last Update Date | 2022-10-16 |