NPI | 1811599087 |
---|---|
Doing Business As | NEWPORT ACADEMY-DALLAS |
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 |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-11-12 |
Last Update Date | 2023-08-23 |