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Organization

SCADP/AWAKENINGS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SALLY ZARATE 06-28-81 (ADM ASSIST)
(562) 947-3835
Entity
Organization

Contact information

Practice address
12322 CLEARGLEN AVE, WHITTIER, CA 90604-3872
(562) 242-1077
(562) 947-9895
Mailing address
4139 PARAMOUNT BLVD SPC 63, PICO RIVERA, CA 90660-6168
(562) 947-3835

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
237228780
CA

Other

Enumeration date
10/13/2009
Last updated
10/13/2009
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