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PASADENA RECOVERY CENTER NPI 1417013970


NPI Information

NPI: 1417013970
Provider Name: PASADENA RECOVERY CENTER
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1811 N RAYMOND AVENUE
PASADENA, CA
ZIP 91103
Phone: (626) 345-9992
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PASADENA RECOVERY CENTER is a substance abuse rehabilitation facility in Pasadena, CA. The provider is 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. PASADENA RECOVERY CENTER NPI is 1417013970. The provider is registered as an organization entity type.

The provider's business location address is:

1811 N RAYMOND AVENUE
PASADENA, CA
ZIP 91103-840
Phone: (626) 345-9992
Fax: (626) 345-9995

The provider's authorized official is Innocent Madu Onyeka .
The authorized official title is Director and has the following contact phone number (626) 345-9992.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility190250APCALIFORNIAYes

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: 11/14/2023

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