Organization
BALBOA HORIZONS RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LONGRIDGE (OWNER)
(949) 515-4140
Entity
Organization
Contact information
Practice address
129 CABRILLO ST, COSTA MESA, CA 92627-3053
(949) 515-4140
(949) 386-8331
Mailing address
1132 W BALBOA BLVD, NEWPORT BEACH, CA 92661-1091
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300165AP
CA
Other
Enumeration date
03/13/2012
Last updated
12/10/2018
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