location
search-icon
institution
Breakaway Health Corporation
Substance Use Disorder Rehabilitation Clinic/Center in Costa Mesa, California
NPI 1851474225

Breakaway Health Corporation is a Substance Use Disorder Rehabilitation Clinic/Center based in Costa Mesa, CA and is specialized in Rehabilitation, Substance Use Disorder. Breakaway Health Corporation practices in Costa Mesa, CA. The NPI Number for Breakaway Health Corporation is 1851474225 and holds a License No. 300065A (California).

The current practice location address for Breakaway Health Corporation is 3151 Airway Ave # D-1D2, Costa Mesa, CA and can be reached out via phone at 714-957-8229 and via fax at 714-957-0244.

Location: 3151 Airway Ave # D-1D2, Costa Mesa, CA, 92626-4622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851474225
Provider Name
Breakaway Health Corporation
Credential
Provider Entity Type
Organization
Address
3151 Airway Ave # D-1D2, Costa Mesa, CA, 92626-4622
Phone Number
714-957-8229
Fax Number
714-957-0244
Provider Enumeration Date
10/21/2006
Last Update Date
10/19/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
300065CP 01 CA DHCS LICENSE
institution
Provider Business Practice Location Address Details
Address
3151 Airway Ave # D-1D2
City
Costa Mesa
State
California
Zip
92626-4607
Phone Number
714-957-8229
Fax Number
714-957-0244
person
Provider Business Mailing Address Details
Address
3151 Airway Ave # D-1D2
City
Costa Mesa
State
California
Zip
92626-4607
Phone Number
714-957-8229
Fax Number
714-957-0244
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
261QR0401X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
300065A (California)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.