Organization
BLVD CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON MONROE (COO)
(602) 550-2211
Entity
Organization
Contact information
Practice address
518 QUEENSLAND CIR, CORONA, CA 92879-1381
(424) 372-1123
Mailing address
PO BOX 512030, LOS ANGELES, CA 90051-0030
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/10/2017
Last updated
07/28/2017
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