| D'veal Family And Youth Services | |
|
855 N Orange Grove Blvd Pasadena CA 91103-3333 | |
| (626) 796-3453 | |
| (626) 744-3411 |
| Full Name | D'veal Family And Youth Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 855 N Orange Grove Blvd, Pasadena, California |
| Authorized Official Name and Position | John T Mccall (CEO) |
| Authorized Official Contact | 6267963453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D'veal Family And Youth Services 855 N Orange Grove Blvd Pasadena CA 91103-3333 Ph: (626) 796-3453 | D'veal Family And Youth Services 855 N Orange Grove Blvd Pasadena CA 91103-3333 Ph: (626) 796-3453 |
| NPI Number | 1689702532 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689702532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCS11363 (California) | Primary |
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