NPI | 1760187058 |
---|---|
Doing Business As | VITA NOVA AT NEWPORT BAY |
Entity Type | Organization |
Authorized Contact | MATTHEW CURRY CEO 818-599-8539 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-04-04 |
Last Update Date | 2023-04-04 |