Organization
HOAG NEUROBEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN SPARKS (DIRECTOR, MANAGED CARE CONTRACTING)
(949) 764-5700
Entity
Organization
Contact information
Practice address
500 SUPERIOR AVE STE 315, NEWPORT BEACH, CA 92663-3660
(949) 764-8191
(949) 764-7223
Mailing address
2975 RED HILL AVE STE 200, COSTA MESA, CA 92626-1206
(949) 764-4624
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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