NPI: 1821135393
Provider Name: THE BISHOP GOODEN HOME
Doing Business As: THE GOODEN CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 05D2113678
Address:
191 N EL MOLINO AVE
PASADENA, CA
ZIP 91101
Phone: (805) 413-1318
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THE BISHOP GOODEN HOME is a rehabilitation and substance use disorder clinic center in Pasadena, CA. THE BISHOP GOODEN HOME NPI is 1821135393. The provider is registered as an organization entity type.
The provider Is Doing Business As The Gooden Center.
The provider's business location address is:
191 N EL MOLINO AVE
PASADENA, CA
ZIP 91101-804
Phone: (805) 413-1318
Fax: (805) 413-1304
The provider's authorized official is April J Antoniou .
The authorized official title is Credentialing Services Manager and has the following contact phone number (805) 413-1318.
The CLIA number assigned to this NPI record is 05D2113678 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/31/2007 and was last updated on 8/22/2020.