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Principles Inc (dba) Impact Drug & Alcohol Treatment Center
Substance Abuse Rehabilitation Facility in Pasadena, California
NPI 1962542274

Principles Inc (dba) Impact Drug & Alcohol Treatment Center is a Substance Abuse Rehabilitation Facility based in Pasadena, CA. Principles Inc (dba) Impact Drug & Alcohol Treatment Center practices in Pasadena, CA. The NPI Number for Principles Inc (dba) Impact Drug & Alcohol Treatment Center is 1962542274 and holds a License No. 190094AN (California).

The current practice location address for Principles Inc (dba) Impact Drug & Alcohol Treatment Center is 1680 N Fair Oaks Ave, Pasadena, CA and can be reached out via phone at 626-798-0884 and via fax at 626-798-6970.

Location: 1680 N Fair Oaks Ave, Pasadena, CA, 91103-1642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962542274
Provider Name
Principles Inc (dba) Impact Drug & Alcohol Treatment Center
Credential
Provider Entity Type
Organization
Address
1680 N Fair Oaks Ave, Pasadena, CA, 91103-1642
Phone Number
626-798-0884
Fax Number
626-798-6970
Provider Enumeration Date
02/07/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1962542274 01 CA MHN
1962542274 01 CA MAGELLAN
1962542274 01 CA BLUE SHIELD
1962542274 01 CA OPTUM
1962542274 01 CA ANTHEM BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1680 N Fair Oaks Ave
City
Pasadena
State
California
Zip
91103-1642
Phone Number
626-798-0884
Fax Number
626-798-6970
person
Provider Business Mailing Address Details
Address
1680 N Fair Oaks Ave
City
Pasadena
State
California
Zip
91103-1642
Phone Number
626-798-0884
Fax Number
626-798-6970
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
190094AN (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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