| NPI | 1942873575 |
|---|---|
| Doing Business As | NEWPORT ACADEMY-FAIRFAX |
| 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 | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2022-08-25 |