| Realize Behavioral Health, Inc | |
|
4540 Campus Dr # 129 Newport Beach CA 92660-1815 | |
| (714) 800-3199 | |
| (949) 209-1860 |
| Full Name | Realize Behavioral Health, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4540 Campus Dr # 129, Newport Beach, California |
| Authorized Official Name and Position | Bryan Adam Vasquez (PRESIDENT) |
| Authorized Official Contact | 7148003199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Realize Behavioral Health, Inc 4540 Campus Dr # 129 Newport Beach CA 92660-1815 Ph: (714) 800-3199 | Realize Behavioral Health, Inc 4540 Campus Dr # 129 Newport Beach CA 92660-1815 Ph: (714) 800-3199 |
| NPI Number | 1639856305 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 07/03/2023 |
| Certification Date | 07/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639856305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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