MICHAEL BALLUE

HAWTHORNE, CA
NPI1225500713
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2018-12-20
Last Update Date2018-12-20
Business Address
MICHAEL BALLUE CADC II
2501 W EL SEGUNDO BLVD STE B
HAWTHORNE, CA 90250-3317
Phone number: 424-456-8933
Mailing Address
MICHAEL BALLUE CADC II
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9126
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