Organization
AKUA BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MERCURIO (PRESIDENT)
(949) 777-2283
Entity
Organization
Contact information
Practice address
10827 FAIR OAKS BLVD, FAIR OAKS, CA 95628-7214
(949) 777-2283
Mailing address
20271 SW BIRCH ST STE 202, NEWPORT BEACH, CA 92660-1752
(949) 777-2283
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
05/07/2020
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