PAX HOUSE LLC NPI 1508100603

NPI Information

NPI: 1508100603
Provider Name: PAX HOUSE LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
324 WAPELLO ST
ALTADENA, CA
ZIP 91001
Phone: (626) 398-3897
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PAX HOUSE LLC is a rehabilitation and substance use disorder clinic center in Altadena, CA. PAX HOUSE LLC NPI is 1508100603. The provider is registered as an organization entity type.

The provider's business location address is:

324 WAPELLO ST
ALTADENA, CA
ZIP 91001-445
Phone: (626) 398-3897
Fax: (626) 243-4425

The provider's authorized official is Marcia Louise Burnett .
The authorized official title is Coo and has the following contact phone number (626) 398-3897.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 2/18/2014.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		CALIFORNIA	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

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