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3822 Campus Dr Ste 200 Newport Beach CA 92660-2609 | |
| (949) 650-4334 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 3822 Campus Dr Ste 200, Newport Beach, California |
| Authorized Official Name and Position | Paul Alexander (PRESIDENT & COO) |
| Authorized Official Contact | 9496504334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3822 Campus Dr Ste 200 Newport Beach CA 92660-2609 Ph: (949) 650-4334 | 3822 Campus Dr Ste 200 Newport Beach CA 92660-2609 Ph: (949) 650-4334 |
| NPI Number | 1265975064 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 03/22/2024 |
| Certification Date | 03/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265975064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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