Organization
ROQUE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA SCOTT (EXECUTIVE MANAGER)
(714) 952-4032
Entity
Organization
Contact information
Practice address
10936 DALE AVE, STANTON, CA 90680-2724
(714) 952-4032
(714) 952-4075
Mailing address
10936 DALE AVE., STANTON, CA 90680
(714) 952-4032
(714) 952-4075
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300015AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300015AN
STATE LICENSE AND CERTIFI
CA
Enumeration date
09/20/2006
Last updated
01/03/2017
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