Organization
BLVD CENTERS, INC
Active
Parent organization
BLVD CENTERS, INC
Other names
Blvd
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLVD CENTERS, INC
Authorized official
MR. JASON MONROE (COO)
(602) 550-2211
Entity
Organization
Contact information
Practice address
1316 SE 12TH AVE, PORTLAND, OR 97214-3604
(951) 323-7366
Mailing address
PO BOX 512030, LOS ANGELES, CA 90051-0030
(855) 277-5363
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/12/2016
Last updated
07/28/2017
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