NPI 1023419439

Boys & Girls Clubs of Garden Grove, INC.

Organisation Case Management Agency Garden Grove, CA

Practice location

Address: 10602 Chapman Ave, Garden Grove, CA 92840-3146
Phone: (714) 532-7940
Mailing address: 10540 Chapman Ave, Garden Grove, CA 92840-3101

Authorised official

Name: Mark Surmanian
Title: Chief Executive Officer
Phone: (714) 530-0430

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1023419439
Entity type: Organization
NPI issued: 5 Sep 2014
Record last updated: 16 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.