Organization · Type 2 NPI
Pasadena Outpatient
Substance Use Disorder Rehabilitation Clinic/Center · Pasadena, CA
NPI number
1174040208
Active
Practice location
1 W Mountain St Unit 10
Pasadena, CA 91103-3070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 11299 (CA) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1174040208
Pasadena Outpatient's National Provider Identifier is 1174040208, issued on Aug 29, 2017. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Pasadena, CA. The record was last updated on Jul 21, 2022.