Organization
CT YA SERVICES LLC
Active
Other names
Newport Institute-Congress
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH THOMPSON (CHIEF LEGAL & DEVELOPMENT OFFICER)
(949) 432-4622
Entity
Organization
Contact information
Practice address
3236 CONGRESS ST, FAIRFIELD, CT 06824-2034
(714) 202-5166
(844) 721-8190
Mailing address
L-4057, COLUMBUS, OH 43260-4057
(714) 202-5166
(844) 721-8190
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/07/2019
Last updated
10/02/2025
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