PATH TO RECOVERY DETOX NPI 1437684834

NPI Information

  • NPI: 1437684834
  • Provider Name: PATH TO RECOVERY DETOX
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 05D2303842
  • Address: 3231 NEW YORK DR
    PASADENA, CA
    ZIP 91107
  • Phone: (323) 413-2080

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NPI Details

PATH TO RECOVERY DETOX 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. PATH TO RECOVERY DETOX NPI is 1437684834. The provider is registered as an organization entity type.

The provider's business location address is:

3231 NEW YORK DR
PASADENA, CA
ZIP 91107-504
Phone: (323) 413-2080

The provider's authorized official is Del Lisenbee .
The authorized official title is Ceo / Co-owner and has the following contact phone number (626) 224-8187.

The CLIA number assigned to this NPI record is 05D2303842 - other - substance use disorder tr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2017 and was last updated on 12/18/2023.

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 License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityCALIFORNIAYes

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: 11/21/2025

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