Organization
BALBOA RECOVERY
Active
Other names
Oceans Sober Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN CULLEN (PRESIDENT/CEO)
(949) 400-7120
Entity
Organization
Contact information
Practice address
430 31ST ST, SUITE B, NEWPORT BEACH, CA 92663-3868
(949) 723-2388
Mailing address
3419 VIA LIDO, #309, NEWPORT BEACH, CA 92663-3908
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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