| Full Name | Soco Dbt |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1001 Dove St Ste 215, Newport Beach, California |
| Authorized Official Name and Position | Courtney Westin (OWNER) |
| Authorized Official Contact | 9495241509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soco Dbt 1001 Dove St Ste 215 Newport Beach CA 92660-2848 Ph: (949) 524-1509 | Soco Dbt 1001 Dove St Ste 215 Newport Beach CA 92660 Ph: (949) 524-1509 |
| NPI Number | 1033631718 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033631718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 305R00000X | Preferred Provider Organization | (* (Not Available)) | Secondary |
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