| Akua Behavioral Health, Inc | |
|
373 Ralcam Pl Costa Mesa CA 92627-1909 | |
| (949) 777-2283 | |
| Not Available |
| Full Name | Akua Behavioral Health, Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 373 Ralcam Pl, Costa Mesa, California |
| Authorized Official Name and Position | Kenny Dewan (CFO) |
| Authorized Official Contact | 9498338101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Akua Behavioral Health, Inc 20271 Sw Birch St Ste 202 Newport Beach CA 92660-1752 Ph: (949) 777-2283 | Akua Behavioral Health, Inc 373 Ralcam Pl Costa Mesa CA 92627-1909 Ph: (949) 777-2283 |
| NPI Number | 1427411727 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 05/13/2020 |
| Certification Date | 05/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427411727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 306005312 (California) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 300297DP (California) | Primary |
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