| Boys & Girls Clubs Of Garden Grove | |
|
10540 Chapman Ave Garden Grove CA 92840-3101 | |
| (714) 530-0430 | |
| Not Available |
| Full Name | Boys & Girls Clubs Of Garden Grove |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10540 Chapman Ave, Garden Grove, California |
| Authorized Official Name and Position | Amie Lynch (DIVISION DIRECTOR OF P&I) |
| Authorized Official Contact | 7145300430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boys & Girls Clubs Of Garden Grove 10540 Chapman Ave Garden Grove CA 92840-3101 Ph: (714) 530-0430 | Boys & Girls Clubs Of Garden Grove 10540 Chapman Ave Garden Grove CA 92840-3101 Ph: (714) 530-0430 |
| NPI Number | 1326599218 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 10/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326599218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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