Organization
DEDICATO TREATMENT CENTER INC
Active
Other names
DEDICATO TREATMENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH LAMONT MARSHALL PSY.D, M.A.,C.A.T.CV (C.E.O./CLINICAL DIRECTOR)
(626) 921-0113
Entity
Organization
Contact information
Practice address
133 N ALTADENA DR STE 401, PASADENA, CA 91107-7330
(626) 921-0113
(626) 921-0214
Mailing address
22 W CARTER AVE, SIERRA MADRE, CA 91024-1219
(626) 921-0113
(626) 921-0214
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Enumeration date
01/08/2016
Last updated
12/06/2023
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