Organization
BOYS & GIRLS CLUBS OF GARDEN GROVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMIE LYNCH (DIVISION DIRECTOR OF P&I)
(714) 530-0430
Entity
Organization
Contact information
Practice address
10540 CHAPMAN AVE, GARDEN GROVE, CA 92840-3101
(714) 530-0430
Mailing address
10540 CHAPMAN AVE, GARDEN GROVE, CA 92840-3101
(714) 530-0430
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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