| D'veal Fam & Yth Altadena Elem Sch | |
|
743 E Calaveras St Altadena CA 91001-2332 | |
| (626) 296-1325 | |
| Not Available |
| Full Name | D'veal Fam & Yth Altadena Elem Sch |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 743 E Calaveras St, Altadena, California |
| Authorized Official Name and Position | John T Mccall (CEO/D'VEAL FAMILY & YOUTH SERVICES) |
| Authorized Official Contact | 6267943136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D'veal Fam & Yth Altadena Elem Sch Po Box 40255 Pasadena CA 91114-7255 Ph: (626) 296-8900 | D'veal Fam & Yth Altadena Elem Sch 743 E Calaveras St Altadena CA 91001-2332 Ph: (626) 296-1325 |
| NPI Number | 1528386935 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 01/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528386935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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