Organization
PASADENA RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. INNOCENT MADU ONYEKA CAS (DIRECTOR)
(626) 345-9992
Entity
Organization
Contact information
Practice address
1811 N RAYMOND AVENUE, PASADENA, CA 91103-1840
(626) 345-9992
(626) 345-9995
Mailing address
1811 N RAYMOND AVENUE, PASADENA, CA 91103-1840
(626) 345-9992
(626) 345-9995
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190250AP
CA
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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