Organization
ANNANDALE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL OLIVIER (CEO)
(310) 922-2264
Entity
Organization
Contact information
Practice address
1280 AFTON ST, PASADENA, CA 91103-2303
(312) 092-2226
Mailing address
1513 PORTIA ST, LOS ANGELES, CA 90026-2651
(310) 922-2264
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/15/2019
Last updated
02/07/2024
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