Organization
ALTADENA RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY ANN BENNETT R.A.S. (DIRECTOR)
(661) 974-5285
Entity
Organization
Contact information
Practice address
3025 LINCOLN AVE, ALTADENA, CA 91001-4534
(626) 765-6905
(626) 765-6905
Mailing address
3025 LINCOLN AVE, ALTADENA, CA 91001-4534
(626) 765-6905
(626) 765-6905
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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