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Pasadena Outpatient
Substance Use Disorder Rehabilitation Clinic/Center in Pasadena, California
NPI 1174040208

Pasadena Outpatient is a Substance Use Disorder Rehabilitation Clinic/Center based in Pasadena, CA and is specialized in Rehabilitation, Substance Use Disorder. Pasadena Outpatient practices in Pasadena, CA. The NPI Number for Pasadena Outpatient is 1174040208 and holds a License No. 11299 (California).

The current practice location address for Pasadena Outpatient is 1 W Mountain St Unit 10, Pasadena, CA and can be reached out via phone at 800-521-1766.

Location: 1 W Mountain St Unit 10, Pasadena, CA, 91103-3070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174040208
Provider Name
Pasadena Outpatient
Credential
Provider Entity Type
Organization
Address
1 W Mountain St Unit 10, Pasadena, CA, 91103-3070
Phone Number
800-521-1766
Fax Number
Provider Enumeration Date
08/29/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 W Mountain St Unit 10
City
Pasadena
State
California
Zip
91103-3070
Phone Number
800-521-1766
Fax Number
person
Provider Business Mailing Address Details
Address
1 W Mountain St Unit 10
City
Pasadena
State
California
Zip
91103-3070
Phone Number
800-521-1766
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
11299 (California)
Definition
Definition to come...
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