Organization
NEWPORT HARBOR RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD D WARD (EXECUTIVE DIRECTOR)
94964557775
Entity
Organization
Contact information
Practice address
382 HAMILTON ST, COSTA MESA, CA 92627-2071
(949) 645-5775
(949) 645-7222
Mailing address
2110 NEWPORT BLVD, UNIT # 1, COSTA MESA, CA 92627-1781
(949) 645-5775
(949) 645-7222
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300112BN
CA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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