Organization
BLVD CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON MONROE (COO)
(602) 550-2211
Entity
Organization
Contact information
Practice address
1776 N HIGHLAND AVE, LOS ANGELES, CA 90028-4404
(424) 281-6143
(424) 216-0574
Mailing address
PO BOX 512030, LOS ANGELES, CA 90051-0030
(855) 277-5363
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
190810AP
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
03/19/2014
Last updated
07/28/2017
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