| NPI | 1093229593 |
|---|---|
| Other Name | BLVD CENTERS, INC |
| Other Name | BLVD CENTERS |
| Entity Type | Organization |
| Authorized Contact | TASHA SHEFFIELD Account Compliance Manager 855-277-5363 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2018-06-16 |