Organization
BLVD CENTERS, INC
Active
Parent organization
CONVALO HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONVALO HEALTH
Authorized official
MR. JASON MONROE (COO)
(602) 550-2211
Entity
Organization
Contact information
Practice address
3785 6TH AVE STE 200, SAN DIEGO, CA 92103-4388
(951) 323-7366
Mailing address
PO BOX 512030, LOS ANGELES, CA 90051-0030
(855) 277-5363
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/24/2016
Last updated
07/28/2017
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