Organization
NEWPORT MENTAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA MONIQUE PORTILLO (OWNER)
(323) 670-1111
Entity
Organization
Contact information
Practice address
1300 QUAIL ST STE 210, NEWPORT BEACH, CA 92660-2710
(323) 670-1111
Mailing address
412 OLIVE AVE STE 533, HUNTINGTON BEACH, CA 92648-5142
(323) 670-1111
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
02/03/2025
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