Organization
WAVELENGTHS RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN BOYD (CEO)
(714) 642-2404
Entity
Organization
Contact information
Practice address
703 CALIFORNIA ST, HUNTINGTON BEACH, CA 92648-4715
(714) 312-1011
(949) 629-6833
Mailing address
703 CALIFORNIA ST, HUNTINGTON BEACH, CA 92648-4715
(714) 312-1011
(949) 629-6833
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300323AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300323AP
DHCS
CA
Enumeration date
06/05/2015
Last updated
12/12/2023
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