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Organization
DEDICATO TREATMENT CENTER INC
Active
Organization
DEDICATO TREATMENT CENTER INC
Active
Other names
DEDICATO TREATMENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH LAMONT MARSHALL PSY.D, M.A.,C.A.T.CV (C.E.O./CLINICAL DIRECTOR)
(626) 921-0113
Entity
Organization
Contact information
Practice address
133 N ALTADENA DR STE 401, PASADENA, CA 91107-7330
(626) 921-0113
(626) 921-0214
Mailing address
22 W CARTER AVE, SIERRA MADRE, CA 91024-1219
(626) 921-0113
(626) 921-0214
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Enumeration date
01/08/2016
Last updated
12/06/2023
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