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Organization
RECOVERY BOULEVARD LLC
Active
Organization
RECOVERY BOULEVARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE PRIESING MHW CATC (CEO)
(949) 300-1657
Entity
Organization
Contact information
Practice address
17011 BEACH BLVD STE 900, HUNTINGTON BEACH, CA 92647-5998
(714) 375-6626
Mailing address
17011 BEACH BLVD STE 900, HUNTINGTON BEACH, CA 92647-5998
(714) 375-6626
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
P0907070941
CA
Other
Enumeration date
05/26/2017
Last updated
07/21/2022
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