Organization
AKUA BEHAVIORAL HEALTH, INC
Active
Other names
ATS health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY DEWAN (CEO)
(949) 833-8100
Entity
Organization
Contact information
Practice address
2754 IMPERIAL AVE, SAN DIEGO, CA 92102-4031
(949) 350-7125
Mailing address
20271 SW BIRCH ST STE 200, NEWPORT BEACH, CA 92660-1752
(949) 833-8103
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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