Organization
BALBOA HORIZONS RECOVERY SERVICES LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHIAS WILLIAM ARNOLD HANCK (BUSINESS DEVELOPMENT CO-OWNER)
(714) 801-1839
Entity
Organization
Contact information
Practice address
1132 W BALBOA BLVD, NEWPORT BEACH, CA 92661-1091
(949) 675-3406
Mailing address
1132 W BALBOA BLVD, NEWPORT BEACH, CA 92661-1091
(949) 675-3406
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300165AP
CA
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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