NPI: 1982940383
Provider Name: MONROE OPERATIONS, LLC
Doing Business As: NEWPORT ACADEMY
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization
Specialization: Substance Abuse Treatment, Children
CLIA Number: 05D2170001
Address:
485 E 17TH ST
SUITE 200
COSTA MESA, CA
ZIP 92627
Phone: (877) 628-3367
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MONROE OPERATIONS, LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Costa Mesa, CA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. MONROE OPERATIONS, LLC NPI is 1982940383. The provider is registered as an organization entity type.
The provider Is Doing Business As Newport Academy.
The provider's business location address is:
485 E 17TH ST
SUITE 200
COSTA MESA, CA
ZIP 92627-265
Phone: (877) 628-3367
Fax: (949) 612-0236
The provider's authorized official is Jamison Monroe .
The authorized official title is Ceo and has the following contact phone number (877) 628-3367.
The CLIA number assigned to this NPI record is 05D2170001 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/13/2012 and was last updated on 12/13/2012.