Organization
RIDGEVIEW DRIVE RANCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY THORNTON (AUTHORIZED OFFICIAL)
(626) 482-3478
Entity
Organization
Contact information
Practice address
3323 MARENGO AVE, ALTADENA, CA 91001
(800) 296-1868
Mailing address
3085 RIDGEVIEW DR, ALTADENA, CA 91001-4527
(800) 296-1868
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190627BP
CA
Other
Enumeration date
07/15/2016
Last updated
06/21/2018
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