D'veal Fam & Yth John Muir High Sch | |
1905 Lincoln Ave Pasadena CA 91103-1315 | |
(626) 396-5600 | |
Not Available |
Full Name | D'veal Fam & Yth John Muir High Sch |
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Speciality | Community/behavioral Health |
Location | 1905 Lincoln Ave, Pasadena, 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 |
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D'veal Fam & Yth John Muir High Sch Po Box 40255 Pasadena CA 91114-7255 Ph: (626) 296-8900 | D'veal Fam & Yth John Muir High Sch 1905 Lincoln Ave Pasadena CA 91103-1315 Ph: (626) 396-5600 |
NPI Number | 1154649564 |
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Provider Enumeration Date | 05/10/2010 |
Last Update Date | 01/24/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154649564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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