| Ballsbridge Behavior And Consultation Services | |
|
1031 Alpine Villa Dr Altadena CA 91001-1404 | |
| (888) 740-8893 | |
| Not Available |
| Full Name | Ballsbridge Behavior And Consultation Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1031 Alpine Villa Dr, Altadena, California |
| Authorized Official Name and Position | Emilia Broberg (OWNER, PRESIDENT, CEO) |
| Authorized Official Contact | 8444278834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballsbridge Behavior And Consultation Services Po Box 628 La Canada CA 91012-0628 Ph: () - | Ballsbridge Behavior And Consultation Services 1031 Alpine Villa Dr Altadena CA 91001-1404 Ph: (888) 740-8893 |
| NPI Number | 1932574597 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932574597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3831490 (California) | Primary |
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