Organization
PASADENA COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE
Active
Parent organization
SOCIAL MODEL RECOVERY SYSTEMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOCIAL MODEL RECOVERY SYSTEMS
Authorized official
FELIPE A KAISER (PROGRAM DIRECTOR)
(626) 795-9127
Entity
Organization
Contact information
Practice address
1245 E WALNUT ST, SUITE 117, PASADENA, CA 91106-1878
(626) 795-9127
(626) 795-0979
Mailing address
1245 EAST WALNUT STREET, SUITE 117, PASADENA, CA 91106
(626) 795-9127
(626) 795-0979
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7642
MEDICAL
CA
Enumeration date
03/14/2012
Last updated
05/15/2013
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