Organization
CASA CARMEN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORRIS ZYSKIND (PRESIDENT)
(626) 858-9615
Entity
Organization
Contact information
Practice address
333 W DAWSON AVE, GLENDORA, CA 91740-5018
(626) 335-8533
Mailing address
PO BOX 2236, GLENDORA, CA 91740-2236
(626) 858-9615
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
197607265
CA
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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