Organization · Type 2 NPI

Five Acres

Emotionally Disturbed Childrens' Residential Treatment Facility · Altadena, CA

NPI number 1104373000 Active

Practice location

760 Mountain View St
Altadena, CA 91001-4925

Call (626) 798-6793 Map

Fax (626) 792-7722

Mailing address

867 N Fair Oaks Ave
Pasadena, CA 91103-3083

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1104373000

Five Acres's National Provider Identifier is 1104373000, issued on Sep 8, 2016. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Altadena, CA. The record was last updated on Aug 7, 2018.