Boys & Girls Clubs of Garden Grove, Inc.
NPI #1023419439 in Garden Grove, California
Provider Information
- NPI Number
- 1023419439
- Entity Type
- Organization
- Organization Name
- Boys & Girls Clubs of Garden Grove, Inc.
- Primary Specialty
- Case Management
- Enumeration Date
- Sep 5, 2014
- Last Updated
- Jun 16, 2016
Practice Location
- Address
- 10602 CHAPMAN AVE
- City
- Garden Grove
- State
- California
- ZIP Code
- 92840-3146
- Phone
- (714) 532-7940
Authorized Official
- Name
- MR. MARK SURMANIAN
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (714) 530-0430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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