| NPI | 1609545391 |
|---|---|
| Doing Business As | NEWPORT INSTITUTE-SHADY CREEK |
| Entity Type | Organization |
| Authorized Contact | JOSEPH A PROCOPIO CEO 949-432-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2022-06-02 |