Organization
PAX HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCIA LOUISE BURNETT (COO)
(626) 398-3897
Entity
Organization
Contact information
Practice address
324 WAPELLO ST, ALTADENA, CA 91001-4445
(626) 398-3897
(626) 243-4425
Mailing address
324 WAPELLO ST, ALTADENA, CA 91001-4445
(626) 398-3897
(626) 243-4425
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
CA
Other
Enumeration date
11/15/2012
Last updated
02/18/2014
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