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200 S Los Robles Ave Ste 250 Pasadena CA 91101-2479 | |
| (626) 899-0172 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 200 S Los Robles Ave Ste 250, Pasadena, California |
| Authorized Official Name and Position | Scott Sarnacke (CFO) |
| Authorized Official Contact | 6158648154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
200 S Los Robles Ave Ste 250 Pasadena CA 91101-2479 Ph: () - | 200 S Los Robles Ave Ste 250 Pasadena CA 91101-2479 Ph: (626) 899-0172 |
| NPI Number | 1154065290 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154065290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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