Organization
BROADWAY TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN LENNERT (DIRECTOR OF OPERATIONS)
(714) 655-0948
Entity
Organization
Contact information
Practice address
18582 BEACH BLVD STE 214, HUNTINGTON BEACH, CA 92648-2043
(714) 655-0948
Mailing address
18582 BEACH BLVD STE 214, HUNTINGTON BEACH, CA 92648-2043
(714) 655-0948
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/21/2016
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