| Newport Academy-costa Mesa | |
|
3189 Pullman St Ste 150 Costa Mesa CA 92626-3320 | |
| (949) 205-5997 | |
| (615) 694-5202 |
| Full Name | Newport Academy-costa Mesa |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3189 Pullman St Ste 150, Costa Mesa, California |
| 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-costa Mesa L-3969 Columbus OH 43260-3969 Ph: () - | Newport Academy-costa Mesa 3189 Pullman St Ste 150 Costa Mesa CA 92626-3320 Ph: (949) 205-5997 |
| NPI Number | 1760995260 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 10/16/2022 |
| Certification Date | 10/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760995260 | NPI | - | NPPES |
| 300233DP | Other | CA | DAY TREATMENT & OUTPATIENT - ALCOHOL AND/OR OTHER DRUG SERVICES |
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