| NPI | 1952857336 |
|---|---|
| Doing Business As | EATING DISORDER CENTER OF NEWPORT BEACH |
| Entity Type | Organization |
| Authorized Contact | MIKE BAGLEY Chief Financial Officer 305-663-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2020-08-03 |