Breakaway Health Corporation
Breakaway Health Corporation is an Addiction (Substance Use Disorder) Counselor in Costa Mesa, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 4
Practice location Address checks out
3151 Airway Ave # D-1D2Costa Mesa, CA 92626-4607
Phone: (714) 957-8229
Fax: (714) 957-0244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Comprehensive Outpatient Rehabilitation Facility (CORF) (primary) | Taxonomy 261QR0401X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 300065A (CA) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
Record details
| NPI number | 1851474225 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hannah Plaskett — Cfo · (714) 957-8229 |
| NPI enumerated | October 21, 2006 |
| Last updated in NPPES | October 1, 2024 |
| Certification date | October 1, 2024 |
| Mailing address | 3151 Airway Ave Ste D1, Costa Mesa, CA 92626-4622 |
Other providers in Costa Mesa
-
Khadine Baptiste
275 Victoria St Ste 1H, Costa Mesa, CA 92627-1906 · (949) 629-2862
-
Andrea Bennett
2212 Placentia Ave, Costa Mesa, CA 92627-7500 · (949) 646-2271
-
Mrs. Marjorie Lynn Blanchard, MTS, NCAC
2607 Willo Ln, Costa Mesa, CA 92627-4645 · (949) 313-1192
-
Cruz Montana Bokolas
1640 Superior Ave, Costa Mesa, CA 92627-3652 · (808) 372-1820
-
Anthony Brown, NP
2729 Bristol St, Costa Mesa, CA 92626-7930 · (855) 932-7267
-
Edward Byron Bryans III
151 Kalmus Dr Ste K1, Costa Mesa, CA 92626-5975 · (714) 384-3879
-
Zein Burkett
151 Kalmus Dr Ste K1, Costa Mesa, CA 92626-5975 · (714) 384-3339
-
Nathaniel Caito, CADCII
2900 Bristol St Ste E103, Costa Mesa, CA 92626-7906 · (714) 540-9070