| Green House - Aftercare | |
|
3123 E Green St Pasadena CA 91107-3821 | |
| (626) 844-3033 | |
| (626) 844-3034 |
| Full Name | Green House - Aftercare |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3123 E Green St, Pasadena, California |
| Authorized Official Name and Position | Lorraine Romero (COMMUNITY BASED DIRECTOR) |
| Authorized Official Contact | 6268443033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green House - Aftercare 3123 E Green St Pasadena CA 91107-3821 Ph: (626) 844-3033 | Green House - Aftercare 3123 E Green St Pasadena CA 91107-3821 Ph: (626) 844-3033 |
| NPI Number | 1790237014 |
|---|---|
| Provider Enumeration Date | 11/03/2016 |
| Last Update Date | 11/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790237014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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