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Organization

BALBOA RECOVERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN CULLEN (PRESIDENT CEO)
(949) 400-7120
Entity
Organization

Contact information

Practice address
3206 W BALBOA BLVD, NEWPORT BEACH, CA 92663-3018
(949) 400-7120
Mailing address
3419 VIA LIDO, NEWPORT BEACH, CA 92663-3908
(949) 400-7120

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
08/08/2012
Last updated
08/08/2012
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