Organization
NOVATION BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REUBEN LEROY SUTTER MD (MEDICAL DIRECTOR)
(949) 626-5040
Entity
Organization
Contact information
Practice address
1707 E BAY AVE, NEWPORT BEACH, CA 92661-1453
(949) 734-9671
Mailing address
1707 E BAY AVE, NEWPORT BEACH, CA 92661-1453
(949) 734-9671
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/21/2022
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