Organization
BHC ALHAMBRA HOSPITAL, INC.
Active
Parent organization
BHC ALHAMBRA HOSPITAL INC
Other names
Reasons Residential San Marino
Organization subpart
Yes
Provider details
NPI number
Legal business name
BHC ALHAMBRA HOSPITAL INC
Authorized official
PEGGY MINNICK R.N. (CHIEF EXECUTIVE OFFICER)
(626) 286-1191
Entity
Organization
Contact information
Practice address
1925 LOMBARDY ROAD, SAN MARINO, CA 91108
(626) 460-8507
(626) 287-7391
Mailing address
4619 N. ROSEMEAD BLVD, ROSEMEAD, CA 91770
(626) 286-1191
(626) 287-7391
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSM34032G
—
CA
Enumeration date
07/12/2019
Last updated
07/12/2019
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