| Newport Academy-axis | |
|
4040 Lake Washington Blvd Ne Ste 201 Kirkland WA 98033-7874 | |
| (714) 202-5166 | |
| Not Available |
| Full Name | Newport Academy-axis |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4040 Lake Washington Blvd Ne Ste 201, Kirkland, Washington |
| 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-axis L-4046 Columbus OH 43260-4046 Ph: (714) 202-5166 | Newport Academy-axis 4040 Lake Washington Blvd Ne Ste 201 Kirkland WA 98033-7874 Ph: (714) 202-5166 |
| NPI Number | 1417553579 |
|---|---|
| Provider Enumeration Date | 12/04/2020 |
| Last Update Date | 10/16/2022 |
| Certification Date | 10/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417553579 | NPI | - | NPPES |
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