Organization · Type 2 NPI
Breakaway Health Corporation
Comprehensive Outpatient Rehabilitation Facility (CORF) · Costa Mesa, CA
NPI number
1851474225
Active
Practice location
3151 Airway Ave # D-1D2
Costa Mesa, CA 92626-4607
Fax (714) 957-0244
Mailing address
3151 Airway Ave Ste D1
Costa Mesa, CA 92626-4622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 300065A (CA) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Comprehensive Outpatient Rehabilitation Facility (CORF) Primary | 261QR0401X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...
Other comprehensive outpatient rehabilitation facility (corf) providers in Costa Mesa
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About NPI 1851474225
Breakaway Health Corporation's National Provider Identifier is 1851474225, issued on Oct 21, 2006. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Costa Mesa, CA. The record was last updated on Oct 1, 2024.