institution
Roque Center, Inc
Substance Abuse Rehabilitation Facility in Stanton, California
NPI 1689772170

Roque Center, Inc is a Substance Abuse Rehabilitation Facility based in Stanton, CA. Roque Center, Inc practices in Stanton, CA. The NPI Number for Roque Center, Inc is 1689772170 and holds a License No. 300015AN (California).

The current practice location address for Roque Center, Inc is 10936 Dale Ave, Stanton, CA and can be reached out via phone at 714-952-4032 and via fax at 714-952-4075.

Location: 10936 Dale Ave, Stanton, CA, 90680
institution
Provider Profile Details
NPI Number
1689772170
Provider Name
Roque Center, Inc
Credential
Provider Entity Type
Organization
Address
10936 Dale Ave, Stanton, CA, 90680
Phone Number
714-952-4032
Fax Number
714-952-4075
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300015AN 01 CA STATE LICENSE AND CERTIFI
institution
Provider Business Practice Location Address Details
Address
10936 Dale Ave
City
State
Zip
90680-2724
Phone Number
714-952-4032
Fax Number
714-952-4075
person
Provider Business Mailing Address Details
Address
10936 Dale Ave
City
State
Zip
90680-2724
Phone Number
714-952-4032
Fax Number
714-952-4075
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
300015AN (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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