| Novation Behavioral Health, Llc | |
|
1707 E Bay Ave Newport Beach CA 92661-1453 | |
| (949) 734-9671 | |
| Not Available |
| Full Name | Novation Behavioral Health, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 1707 E Bay Ave, Newport Beach, California |
| Authorized Official Name and Position | Reuben Leroy Sutter (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9496265040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novation Behavioral Health, Llc 1707 E Bay Ave Newport Beach CA 92661-1453 Ph: (949) 734-9671 | Novation Behavioral Health, Llc 1707 E Bay Ave Newport Beach CA 92661-1453 Ph: (949) 734-9671 |
| NPI Number | 1952824021 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952824021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
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