| Newport Academy-waukesha | |
|
N19w24101 Riverwood Dr Waukesha WI 53188-1109 | |
| (714) 202-5166 | |
| (844) 721-8190 |
| Full Name | Newport Academy-waukesha |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | N19w24101 Riverwood Dr, Waukesha, Wisconsin |
| 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-waukesha L-4207 Columbus OH 43260-4207 Ph: (714) 202-5166 | Newport Academy-waukesha N19w24101 Riverwood Dr Waukesha WI 53188-1109 Ph: (714) 202-5166 |
| NPI Number | 1558930131 |
|---|---|
| Provider Enumeration Date | 06/18/2021 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558930131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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