| Newport Academy-charlotte | |
|
9101 Pineville Matthews Rd Ste C1 Pineville NC 28134-8840 | |
| (714) 202-5166 | |
| (219) 844-8190 |
| Full Name | Newport Academy-charlotte |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 9101 Pineville Matthews Rd Ste C1, Pineville, North Carolina |
| Authorized Official Name and Position | Joseph A Procopio (CEO) |
| Authorized Official Contact | 9494324622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Academy-charlotte 19200 Von Karman Ave Ste 500 Irvine CA 92612-8513 Ph: (714) 202-5166 | Newport Academy-charlotte 9101 Pineville Matthews Rd Ste C1 Pineville NC 28134-8840 Ph: (714) 202-5166 |
| NPI Number | 1053050401 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 06/02/2022 |
| Certification Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053050401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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