D'veal Fam And Yth Mt Olive Alter Sch. | |
1400 Mount Olive Dr Duarte CA 91010-2675 | |
(626) 599-5900 | |
Not Available |
Full Name | D'veal Fam And Yth Mt Olive Alter Sch. |
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Speciality | Community/behavioral Health |
Location | 1400 Mount Olive Dr, Duarte, California |
Authorized Official Name and Position | John T Mccall (CEO) |
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 And Yth Mt Olive Alter Sch. Po Box 40255 Pasadena CA 91114-7255 Ph: (626) 296-8900 | D'veal Fam And Yth Mt Olive Alter Sch. 1400 Mount Olive Dr Duarte CA 91010-2675 Ph: (626) 599-5900 |
NPI Number | 1891031126 |
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Provider Enumeration Date | 12/13/2012 |
Last Update Date | 12/01/2022 |
Certification Date | 12/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891031126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (California) | Primary |
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