| Neurodivergent Collective | |
|
20377 Sw Acacia St Ste 200 Newport Beach CA 92660-1780 | |
| (949) 629-3242 | |
| Not Available |
| Full Name | Neurodivergent Collective |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 20377 Sw Acacia St Ste 200, Newport Beach, California |
| Authorized Official Name and Position | Anthony Ferrigno (BILLING MANAGER) |
| Authorized Official Contact | 9493561944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodivergent Collective 20377 Sw Acacia St Ste 200 Newport Beach CA 92660-1780 Ph: () - | Neurodivergent Collective 20377 Sw Acacia St Ste 200 Newport Beach CA 92660-1780 Ph: (949) 629-3242 |
| NPI Number | 1952081374 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 08/24/2023 |
| Certification Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952081374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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