| Newport Academy-fairfax | |
|
8280 Willow Oaks Corporate Dr Ste 125 Fairfax VA 22031-4516 | |
| (714) 202-5166 | |
| Not Available |
| Full Name | Newport Academy-fairfax |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 8280 Willow Oaks Corporate Dr Ste 125, Fairfax, Virginia |
| 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-fairfax L- 4080 Columbus OH 43260-4080 Ph: (714) 202-5166 | Newport Academy-fairfax 8280 Willow Oaks Corporate Dr Ste 125 Fairfax VA 22031-4516 Ph: (714) 202-5166 |
| NPI Number | 1942873575 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 08/25/2022 |
| Certification Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942873575 | NPI | - | NPPES |
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