Organization
BOYD RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON MARTIN (COMPLIANCE DIRECTOR)
(714) 916-6681
Entity
Organization
Contact information
Practice address
6 PETALUMA BLVD N STE A7&A8, PETALUMA, CA 94952-3050
(714) 642-2404
Mailing address
6 PETALUMA BLVD N STE A7, PETALUMA, CA 94952-3027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
10/23/2023
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