Organization
BHC ALHAMBA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT GRAVES (DIRECTOR OF BUSINESS DEVELOPMENT)
(626) 286-1191
Entity
Organization
Contact information
Practice address
502 EAST CAMINO REAL AVE, ARCADIA, CA 91006
(626) 286-1191
Mailing address
4619 N. ROSEMEAD BLVD, ROSEMEAD, CA 91770
(626) 286-1191
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
550003674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054032
MEDICARE
CA
05
—
HSM34032G
—
CA
Enumeration date
11/28/2016
Last updated
09/21/2021
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