NPI | 1760995260 |
---|---|
Doing Business As | NEWPORT ACADEMY-COSTA MESA |
Entity Type | Organization |
Authorized Contact | JOSEPH A PROCOPIO CEO 949-432-4622 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA 300233DP) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 300233DP) |
Enumeration Date | 2017-11-07 |
Last Update Date | 2022-10-16 |