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Blockdare Inc
Adolescent and Children Mental Health Clinic/Center in San Marino, California
NPI 1205241163

Blockdare Inc is an Adolescent and Children Mental Health Clinic/Center based in San Marino, CA and is specialized in Adolescent and Children Mental Health. Blockdare Inc practices in San Marino, CA. The NPI Number for Blockdare Inc is 1205241163 and holds a License No. 0M15046 (California).

The current practice location address for Blockdare Inc is 2260 Brentford Rd, San Marino, CA and can be reached out via phone at 626-429-3651.

Location: 2260 Brentford Rd, San Marino, CA, 91108-2801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205241163
Provider Name
Blockdare Inc
Credential
Provider Entity Type
Organization
Address
2260 Brentford Rd, San Marino, CA, 91108-2801
Phone Number
626-429-3651
Fax Number
Provider Enumeration Date
06/29/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M015046 01 CA NONE
institution
Provider Business Practice Location Address Details
Address
2260 Brentford Rd
City
San Marino
State
California
Zip
91108-2801
Phone Number
626-429-3651
Fax Number
person
Provider Business Mailing Address Details
Address
2260 Brentford Rd
City
San Marino
State
California
Zip
91108-2801
Phone Number
626-429-3651
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
0M15046 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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