| D'veal Fam & Yth Altadena Elem Sch. | |
|
743 E Calaveras St Altadena CA 91001-2332 | |
| (626) 796-3453 | |
| 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 Mccall (CEO) |
| 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) 796-3453 |
| NPI Number | 1962825265 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 12/21/2022 |
| Certification Date | 12/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962825265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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