Provider Demographics
NPI:1578280517
Name:MONROE OPERATIONS LLC
Entity Type:Organization
Organization Name:MONROE OPERATIONS LLC
Other - Org Name:NEWPORT ACADEMY-APPLEWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PROCOPIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-432-4622
Mailing Address - Street 1:L-3969
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43260-3969
Mailing Address - Country:US
Mailing Address - Phone:714-202-5166
Mailing Address - Fax:
Practice Address - Street 1:2269 APPLEWOOD LN
Practice Address - Street 2:
Practice Address - City:SANTA ROSA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93012-8856
Practice Address - Country:US
Practice Address - Phone:714-202-5166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility