DEDICATO TREATMENT CENTER INC NPI 1417313214

NPI Information

NPI: 1417313214
Provider Name: DEDICATO TREATMENT CENTER INC

Doing Business As: DEDICATO TREATMENT CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
133 N ALTADENA DR STE 401
PASADENA, CA
ZIP 91107
Phone: (626) 921-0113
Get Directions

DEDICATO TREATMENT CENTER INC is a mental health (including community mental health center) clinic center in Pasadena, CA. DEDICATO TREATMENT CENTER INC NPI is 1417313214. The provider is registered as an organization entity type.
The provider Is Doing Business As Dedicato Treatment Center.

The provider's business location address is:

133 N ALTADENA DR STE 401
PASADENA, CA
ZIP 91107-330
Phone: (626) 921-0113
Fax: (626) 921-0214

The provider's authorized official is Keith Lamont Marshall .
The authorized official title is C.e.o./clinical Director and has the following contact phone number (626) 921-0113.

The CLIA number assigned to this NPI record is 05D2126240 - other - drug & alcohol rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2016 and was last updated on 12/6/2023.

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	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
3	276400000X	Rehabilitation, Substance Use Disorder Unit		No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »