# BOYS & GIRLS CLUBS OF GARDEN GROVE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023419439
- **Authorized official:** MR. MARK SURMANIAN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (714) 530-0430

## Contact information

- **Practice address:** 10602 CHAPMAN AVE, GARDEN GROVE, CA 92840-3146
- **Practice address phone:** (714) 532-7940
- **Mailing address:** 10540 CHAPMAN AVE, GARDEN GROVE, CA 92840-3101
- **Mailing address phone:** (714) 530-0430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2014
- **Last updated:** 06/16/2016