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 |
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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 |
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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 |
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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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