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SOCIAL MODEL RECOVERY SYSTEMS INC. NPI 1447388434


NPI Information

NPI: 1447388434
Provider Name: SOCIAL MODEL RECOVERY SYSTEMS, INC.

Other Name: PASADENA COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1245 E WALNUT ST
SUITE 101,103,107,109,115,117,118
PASADENA, CA
ZIP 91106
Phone: (626) 795-9127
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SOCIAL MODEL RECOVERY SYSTEMS, INC. is a community behavioral health in Pasadena, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SOCIAL MODEL RECOVERY SYSTEMS, INC. NPI is 1447388434. The provider is registered as an organization entity type.
The provider Other Name Is Pasadena Council On Alcoholism And Drug Dependence.

The provider's business location address is:

1245 E WALNUT ST
SUITE 101,103,107,109,115,117,118
PASADENA, CA
ZIP 91106-878
Phone: (626) 795-9127
Fax: (626) 795-0979

The provider's authorized official is Lynetta Hale .
The authorized official title is Senior Director Of Clinical Service and has the following contact phone number (626) 332-3145.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 3/1/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101735308MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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