# SCADP/AWAKENINGS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740515428
- **Authorized official:** SALLY ZARATE 06-28-81 (ADM ASSIST)
- **Authorized official phone:** (562) 947-3835

## Contact information

- **Practice address:** 12322 CLEARGLEN AVE, WHITTIER, CA 90604-3872
- **Practice address phone:** (562) 242-1077
- **Practice address fax:** (562) 947-9895
- **Mailing address:** 4139 PARAMOUNT BLVD SPC 63, PICO RIVERA, CA 90660-6168
- **Mailing address phone:** (562) 947-3835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 237228780 | CA | Yes |

## Other

- **Enumeration date:** 10/13/2009
- **Last updated:** 10/13/2009