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169 N Oak Knoll Ave. Pasadena CA 91101 | |
| (626) 792-2770 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 169 N Oak Knoll Ave., Pasadena, California |
| Authorized Official Name and Position | Leah N. Rodemich (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6267922770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
160 N El Molino Ave Pasadena CA 91101 Ph: (626) 792-2770 | 169 N Oak Knoll Ave. Pasadena CA 91101 Ph: (626) 792-2770 |
| NPI Number | 1952633240 |
|---|---|
| Provider Enumeration Date | 02/11/2010 |
| Last Update Date | 03/03/2020 |
| Certification Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952633240 | NPI | - | NPPES |
| 190012BN | Other | CA | STATE OF CA |
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