Organization
THE PAJO CORP
Active
Other names
Tri City Institute
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN PERRY PHYSICIAN ASSISTANT (EXECUTIVE DIRECTOR)
(310) 553-9500
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E, SUITE 1210, CENTURY CITY, CA 90067-2001
(310) 553-9500
(310) 553-7247
Mailing address
2080 CENTURY PARK E, SUITE 1210, CENTURY CITY, CA 90067-2001
(310) 553-9500
(310) 553-7247
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
19.135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HDC70049F
—
CA
Enumeration date
01/10/2007
Last updated
05/24/2016
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