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Organization
EATING DISORDER CENTER OF CALIFORNIA
Active
Organization
EATING DISORDER CENTER OF CALIFORNIA
Active
Other names
Eating Disorder Center of Newport Beach
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE BAGLEY (CHIEF FINANCIAL OFFICER)
(305) 663-1876
Entity
Organization
Contact information
Practice address
2 CORPORATE PLAZA DR, SUITE 200, NEWPORT BEACH, CA 92660-7929
(305) 663-1876
(786) 359-4485
Mailing address
6100 SW 76TH STREET, SOUTH MIAMI, FL 33143
(305) 663-1876
(786) 359-4485
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/03/2020
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