Individual provider · Type 1 NPI

Keanu Gonzales

Community/Behavioral Health Agency · Newport Beach, CA

NPI number 1083589154 Active

Practice location

1151 Dove St
Newport Beach, CA 92660-2840

Call (909) 248-3315 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1083589154

Keanu Gonzales's National Provider Identifier is 1083589154, issued on Oct 8, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Newport Beach, CA. The record was last updated on Oct 8, 2025.