Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUMN CARROLL
Active Sole ProprietorAUTUMN CARROLL is a Emotionally Disturbed Children Residential Treatment healthcare provider located in NEWPORT BEACH, California. NPI 1508572504 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · NEWPORT BEACH, CA
Registration Details
- NPI Number
- 1508572504
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2023 (3.5986918682764 yrs)
- Last Updated
- Jan 24, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
1151 DOVE STNEWPORT BEACH, CA, 926602840Browse CA providers · Browse ZIP 92660
- Phone
- 9496308290
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.