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Organization
INSTITUTE FOR THE REDESIGN OF LEARNING
Active
Organization
INSTITUTE FOR THE REDESIGN OF LEARNING
Active
Other names
Almansor Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
SELENE LAWS (SR. CONTRACT ADMINISTRATOR)
(323) 344-5536
Entity
Organization
Contact information
Practice address
1317 HUNTINGTON DR, SOUTH PASADENA, CA 91030-4511
(323) 341-7777
Mailing address
1317 HUNTINGTON DR, SOUTH PASADENA, CA 91030-4511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7184
ALMANSOR
CA
01
—
7368
ALMANSOR
CA
Enumeration date
03/27/2007
Last updated
11/11/2022
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