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Organization
CAMP GLEN ROCKEY
Active
Organization
CAMP GLEN ROCKEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA SCANLON (SUPERVISOR)
(909) 599-2391
Entity
Organization
Contact information
Practice address
1900 SYCAMORE CANYON RD, SAN DIMAS, CA 91773-1220
(909) 599-2391
Mailing address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/02/2008
Last updated
11/02/2008
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