Organization
LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE REYNOSA LCSW (EXECUTIVE ASSISTANT)
(562) 777-7500
Entity
Organization
Contact information
Practice address
1084 NEW YORK DR, ALTADENA, CA 91001-3118
(562) 777-7500
(562) 777-7510
Mailing address
12070 TELEGRAPH RD STE 207, SANTA FE SPRINGS, CA 90670-8213
(562) 777-7500
(562) 777-7510
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251V00000X
Voluntary or Charitable Agency
190100BN
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
190100BN
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
190100BN
CA
Other
Enumeration date
04/13/2011
Last updated
01/26/2026
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