| NPI | 1639677768 |
|---|---|
| Doing Business As | BOARDWALK RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | AMANDA TAMAI Executive Assistant 619-206-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-08-15 |