Organization
PRINCIPLES INC (DBA) IMPACT DRUG & ALCOHOL TREATMENT CENTER
Active
Other names
Impact Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHRISTINA GONZALES (EXECUTIVE DIRECTOR)
(626) 798-0884
Entity
Organization
Contact information
Practice address
1450 N LAKE AVE, 2ND FLOOR, PASADENA, CA 91104-2301
(626) 564-4240
(626) 577-4250
Mailing address
1450 N LAKE AVE, 2ND FLOOR, PASADENA, CA 91104-2301
(626) 564-4240
(626) 577-4250
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190094GN
CA
Other
Enumeration date
07/11/2013
Last updated
06/14/2024
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