Breakaway Health Corporation in Costa Mesa - Rehabilitation, Substance Use Disorder
Breakaway Health Corporation - NPI 1851474225
Breakaway Health Corporation is a Rehabilitation, Substance Use Disorder in Costa Mesa, California. Breakaway Health Corporation practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Breakaway Health Corporation is 1851474225. The last update date is 2022-05-12.
Breakaway Health Corporation's current location address is 3151 Airway Ave, Costa Mesa, California. You can contact this provider via phone number 7149578229 and fax number 7149570244. The mailing address for Breakaway Health Corporation is 3151 Airway Ave, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Breakaway Health Corporation |
|---|---|
| Address | 3151 Airway Ave, Costa Mesa, California |
| Phone Number | 7149578229 |
| Fax Number | 7149570244 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Plaskett Patrick Richard |
| Credentials | MASTERS, F |
| Telephone Number | 7149578229 |
NPI Number Detail
| NPI Number | 1851474225 |
|---|---|
| Provider Enumeration Date | 2006-10-21 |
| Last Updated Date | 2022-05-12 |
Provider Mailing Address Detail
| Address | 3151 Airway Ave |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 926264607 |
| Phone Number | 7149578229 |
| Fax Number | 7149570244 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
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What is the Breakaway Health Corporation's 1851474225?
The Breakaway Health Corporation's NPI (National Provider Identifier) Number is 1851474225. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Breakaway Health Corporation?
The Breakaway Health Corporation is situated at 3151 Airway Ave, in the city of Costa Mesa, state of CA, with the zip code 926264607.
What is Breakaway Health Corporation's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Breakaway Health Corporation is Rehabilitation, Substance Use Disorder, and the taxonomy code that categorizes this field of expertise is 261Qr0405X.
When did the Breakaway Health Corporation receive its 1851474225?
The Breakaway Health Corporation was issued its 1851474225 on 2006-10-21, which is the date when the organization was assigned this unique identifier.
When was the Breakaway Health Corporation's information last updated?
The Breakaway Health Corporation's information was last updated on 2022-05-12.