Organization
PATH TO RECOVERY DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEL LISENBEE CADC II, MA., MFTI (CEO / CO-OWNER)
(626) 224-8187
Entity
Organization
Contact information
Practice address
3231 NEW YORK DR, PASADENA, CA 91107-1504
(323) 413-2080
Mailing address
1822 E ROUTE 66, GLENDORA, CA 91740-3801
(626) 224-8187
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
04/24/2017
Last updated
12/18/2023
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