Autumn Carroll
Autumn Carroll is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Newport Beach, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1151 Dove StNewport Beach, CA 92660-2840
Phone: (949) 630-8290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1508572504 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 24, 2023 |
| Last updated in NPPES | January 24, 2023 |
| Certification date | January 24, 2023 |