NPI | 1558930131 |
---|---|
Doing Business As | NEWPORT ACADEMY-WAUKESHA |
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 |
Enumeration Date | 2021-06-18 |
Last Update Date | 2023-08-23 |