Broadway Development Group, Llc

NPI 1023376142 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1023376142
Enumeration Date 04/26/2012
Last Updated 04/21/2016
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SHAUN SHAUN
Position DIRECTOR OF OPERATIONS
Phone (714) 655-0948
Fax
Practice Location
18582 BEACH BLVD STE 214
HUNTINGTON BEACH CA, 92648-2043, US
Phone (714) 655-0948
Fax
Business Location
18582 BEACH BLVD STE 214
HUNTINGTON BEACH CA, 92648-2043, US
Phone (714) 655-0948
Fax
Toxanomy
Taxonomy Code 324500000X
License State
License Number
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According to our database, Broadway Development Group, Llc NPI is 1023376142, taxonomy code is 324500000X Broadway Development Group, Llc physically located at 18582 Beach Blvd Ste 214, Huntington Beach CA, 92648-2043. NPI Number 1033115704 has the healthcare provider type.

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1023376142 NPI number is provided on an as is basis without warranty of any kind. 1023376142 is maintained by the National Plan & Provider Enumeration System. The contents of Broadway Development Group, Llc are for informational purposes only.