Boys & Girls Clubs Of Garden Grove | |
10602 Chapman Ave Suite 101 Garden Grove CA 92840-3103 | |
(714) 532-7940 | |
Not Available |
Full Name | Boys & Girls Clubs Of Garden Grove |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 10602 Chapman Ave, Garden Grove, California |
Authorized Official Name and Position | Pat Halberstadt (CHIEF PROFESSIONAL OFFICER) |
Authorized Official Contact | 7147410962 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boys & Girls Clubs Of Garden Grove 10540 Chapman Ave Garden Grove CA 92840-3101 Ph: (714) 530-0430 | Boys & Girls Clubs Of Garden Grove 10602 Chapman Ave Suite 101 Garden Grove CA 92840-3103 Ph: (714) 532-7940 |
NPI Number | 1245431808 |
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Provider Enumeration Date | 05/30/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1245431808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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