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
1608 SAWTELLE BLVD, LOS ANGELES, CA 90025-3114
(855) 277-5363
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
Primary
—
—
Other
Enumeration date
10/13/2015
Last updated
07/28/2017
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