| NPI | 1679165732 |
|---|---|
| Doing Business As | NEWPORT ACADEMY-CREEKSIDE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH A PROCOPIO CEO 949-432-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2023-08-23 |